Diffuse idiopathic skeletal hyperostosis (DISH)
Neck pain or stiffness with dysphagia
Forestier's Disease (DISH).
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DISH ( Diffuse idiopathic skeletal hyperostosis )
Flowing ossification of more than 4 contiguous vertebrae with preservation of disk spaces and facetal joints. ( Ossification may thicken as disease becomes more chronic )
DISH (Diffuse idiopathic skeletal hyperostosis)
It is a non-inflammatory spondyloarthropathy. The radiological imaging findings are characteristic, although have to be differentiated from other spondyloarthropathies.
Florid flowing ossifications involving four or more contiguous vertebrae on anterior aspects, preservation of the disc spaces and the facetal joints helps to identify the disease radiologically. Classically, advanced disease may have "melted candle wax" appearance along the spine on radiographic studies.
Extra-spinal features includes enthesopathy at various sites (iliac crest, ischial tuberosities, and greater trochanters)
- Ankylosing spondylitis
- Degenerative disease
- Kasper D, Hermichen H, Köster R et-al. Clinical manifestations of diffuse idiopathic skeletal hyperostosis (DISH). HNO. 2002;50 (11): 978-83. doi:10.1007/s00106-002-0674-0 - Pubmed citation
- Resnick D. Diffuse Idiopathic Skeletal Hyperostosis (DISH). West. J. Med. 2010;124 (5): 406-7. Free text at pubmed - Pubmed citation
- Belanger TA, Rowe DE. Diffuse idiopathic skeletal hyperostosis: musculoskeletal manifestations. J Am Acad Orthop Surg. 2001;9 (4): 258-67. Pubmed citation