Diffuse idiopathic skeletal hyperostosis (DISH)

Case contributed by Dr Roberto Schubert

Presentation

Chronic polyarthalgia. Stiffness of joints and spine.

Patient Data

Age: 65
Gender: Male
Modality: X-ray

Ossification of the anterior longitudinal ligament only sparing the segments C2/3 and L4/5. Thoracic and partly lumbar epispinal ligament ossifications. Fabellae nuchae at C4,5. Suspected acquired atlanto-occipital assimilation. No evidence of sacroiliitis on the AP images of the lumbar spine.

Modality: X-ray

Ossification of the ligamentous insertions at the acetabulum.

Modality: X-ray

Fibroostoses at the insertions of the iliotibial bands, the patellar apices and the right patellar base. Partial ossification of the proximal interosseous membrane left > right.

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Case Information

rID: 18564
Case created: 12th Jul 2012
Last edited: 30th Dec 2016
Tag: dish
Inclusion in quiz mode: Included

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