Turkish Journal of Geriatrics 2015 , Vol 18, Issue 3
DYSPHAGIA: AN INFREQUENT SYMPTOM OF DIFFUSE IDIOPATHIC SKELETAL HYPEROSTOSIS
Kübra Neslihan KURT1, Feyza ÜNLÜ ÖZKAN1, Fatma Nur SOYLU BOY2, Pınar AKPINAR1, Duygu GELER KÜLCÜ1, İlknur AKTAŞ1
1Ä°stanbul Fatih Sultan Mehmet Training and Research Hospital, Physical Medicine and Rehabilitation, Ä°STANBUL
2Ä°stanbul Fatih Sultan Mehmet Training and Research Hospital, Radiology, Ä°STANBUL
Diffuse idiopathic skeletal hyperostosis (DISH) is a disorder of unknown aetiology characterised by exuberant hyperostosis of the spinal column, that occasionally leads to bone ankylosis and ossification of extra-spinal entheses. Associations with systemic conditions including obesity, hypertension, diabetes mellitus, hyperinsulinaemia, dyslipidaemia and hyperuricaemia have been reported. The thoracic spine is typically involved in DISH followed by thoracolumbar and cervical involvement. Herein, we present a 63-year-old woman with cervicothoracic spine involvement leading to pharyngeal impingement and dysphagia. Clinicians should be aware of this rare clinical manifestation of DISH of the cervical spine and patients should be informed about and followed up for dysphagia. Keywords : Dysphagia; Cervical Spine; Diffuse Idiopathic Skeletal Hyperostosis