Diffuse idiopathic skeletal hyperostosis causing dysphagia in a young patient
Diffuse idiopathic skeletal hyperostosis (DISH) is an under-diagnosed condition producing flowing ossification of the antero-lateral ligaments of the spine. Affecting predominantly males over 65 years old, it is an unusual cause of dysphagia and dysphonia. We report a 45-year-old mole with a three y...
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Sociedad Médica de Santiago
2013
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oai:scielo:S0034-988720130006000172013-10-08Diffuse idiopathic skeletal hyperostosis causing dysphagia in a young patientUrrutia,JulioBernardín,AndrésMorales,CristiánMillán,Rodrigo Deglutition disorders Hyperostosis, diffuse idiopathic skeletal Diffuse idiopathic skeletal hyperostosis (DISH) is an under-diagnosed condition producing flowing ossification of the antero-lateral ligaments of the spine. Affecting predominantly males over 65 years old, it is an unusual cause of dysphagia and dysphonia. We report a 45-year-old mole with a three years history of dysphonia and three months of dysphagia. The initial diagnosis was gastroesophageal reflux, and an endoscopy ruled out esophageal luminal pathology. Cervical spine radiographs showed ossification of the cervical anterior longitudinal ligament with large, prominent osteophytes from C3 to C6, producing esophageal and upper airway compression; these images were compatible with DISH. Cervical osteophyte resection resulted in complete resolution of symptoms. DISH should be considered in the differential diagnosis of dysphagia and dysphonia.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.141 n.6 20132013-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000600017en10.4067/S0034-98872013000600017 |
institution |
Scielo Chile |
collection |
Scielo Chile |
language |
English |
topic |
Deglutition disorders Hyperostosis, diffuse idiopathic skeletal |
spellingShingle |
Deglutition disorders Hyperostosis, diffuse idiopathic skeletal Urrutia,Julio Bernardín,Andrés Morales,Cristián Millán,Rodrigo Diffuse idiopathic skeletal hyperostosis causing dysphagia in a young patient |
description |
Diffuse idiopathic skeletal hyperostosis (DISH) is an under-diagnosed condition producing flowing ossification of the antero-lateral ligaments of the spine. Affecting predominantly males over 65 years old, it is an unusual cause of dysphagia and dysphonia. We report a 45-year-old mole with a three years history of dysphonia and three months of dysphagia. The initial diagnosis was gastroesophageal reflux, and an endoscopy ruled out esophageal luminal pathology. Cervical spine radiographs showed ossification of the cervical anterior longitudinal ligament with large, prominent osteophytes from C3 to C6, producing esophageal and upper airway compression; these images were compatible with DISH. Cervical osteophyte resection resulted in complete resolution of symptoms. DISH should be considered in the differential diagnosis of dysphagia and dysphonia. |
author |
Urrutia,Julio Bernardín,Andrés Morales,Cristián Millán,Rodrigo |
author_facet |
Urrutia,Julio Bernardín,Andrés Morales,Cristián Millán,Rodrigo |
author_sort |
Urrutia,Julio |
title |
Diffuse idiopathic skeletal hyperostosis causing dysphagia in a young patient |
title_short |
Diffuse idiopathic skeletal hyperostosis causing dysphagia in a young patient |
title_full |
Diffuse idiopathic skeletal hyperostosis causing dysphagia in a young patient |
title_fullStr |
Diffuse idiopathic skeletal hyperostosis causing dysphagia in a young patient |
title_full_unstemmed |
Diffuse idiopathic skeletal hyperostosis causing dysphagia in a young patient |
title_sort |
diffuse idiopathic skeletal hyperostosis causing dysphagia in a young patient |
publisher |
Sociedad Médica de Santiago |
publishDate |
2013 |
url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000600017 |
work_keys_str_mv |
AT urrutiajulio diffuseidiopathicskeletalhyperostosiscausingdysphagiainayoungpatient AT bernardinandres diffuseidiopathicskeletalhyperostosiscausingdysphagiainayoungpatient AT moralescristian diffuseidiopathicskeletalhyperostosiscausingdysphagiainayoungpatient AT millanrodrigo diffuseidiopathicskeletalhyperostosiscausingdysphagiainayoungpatient |
_version_ |
1718436696843878400 |