Diffuse idiopathic skeletal hyperostosis: Difference between revisions
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{{Infobox medical condition | |||
| name = Diffuse idiopathic skeletal hyperostosis | |||
| image = [[File:Forestier's_disease,_X-ray_of_thoracic_column.jpg|left|thumb|X-ray of thoracic column showing diffuse idiopathic skeletal hyperostosis]] | |||
| caption = X-ray of thoracic column showing diffuse idiopathic skeletal hyperostosis | |||
| synonyms = Forestier's disease | |||
| specialty = [[Rheumatology]] | |||
| symptoms = Stiffness, pain in the back or neck, limited range of motion | |||
| complications = [[Dysphagia]], [[spinal cord compression]] | |||
| onset = Typically middle-aged and older adults | |||
| duration = Chronic | |||
| causes = Unknown | |||
| risks = [[Obesity]], [[type 2 diabetes]], [[metabolic syndrome]] | |||
| diagnosis = [[X-ray]], [[CT scan]], [[MRI]] | |||
| differential = [[Ankylosing spondylitis]], [[osteoarthritis]], [[spondylosis]] | |||
| treatment = [[Physical therapy]], [[pain management]], [[surgery]] in severe cases | |||
| medication = [[NSAIDs]], [[analgesics]] | |||
| frequency = Common in older adults | |||
}} | |||
'''Diffuse idiopathic skeletal hyperostosis''' (DISH) is a condition characterized by abnormal calcification/bone growth across joints and ligaments, primarily affecting the spine and major joints of the body. It is also known as '''Forestier's disease''' after the French physician who first identified it in the early 20th century. | '''Diffuse idiopathic skeletal hyperostosis''' (DISH) is a condition characterized by abnormal calcification/bone growth across joints and ligaments, primarily affecting the spine and major joints of the body. It is also known as '''Forestier's disease''' after the French physician who first identified it in the early 20th century. | ||
== Symptoms == | == Symptoms == | ||
The symptoms of DISH vary depending on the location and severity of the condition. Some people with DISH may not have any symptoms, while others may experience: | The symptoms of DISH vary depending on the location and severity of the condition. Some people with DISH may not have any symptoms, while others may experience: | ||
* Stiffness, especially in the morning | * Stiffness, especially in the morning | ||
* Pain in the back, neck, or joints | * Pain in the back, neck, or joints | ||
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* Loss of range of motion in the affected joints | * Loss of range of motion in the affected joints | ||
* Tenderness over the affected areas | * Tenderness over the affected areas | ||
== Causes == | == Causes == | ||
The exact cause of DISH is unknown. However, it is believed to be related to factors such as: | The exact cause of DISH is unknown. However, it is believed to be related to factors such as: | ||
* Age: DISH is more common in older adults. | * Age: DISH is more common in older adults. | ||
* Gender: Men are more likely to develop DISH than women. | * Gender: Men are more likely to develop DISH than women. | ||
* Obesity: People who are overweight or obese are more likely to develop DISH. | * Obesity: People who are overweight or obese are more likely to develop DISH. | ||
* Diabetes and other conditions that affect the body's metabolism | * Diabetes and other conditions that affect the body's metabolism | ||
== Diagnosis == | == Diagnosis == | ||
DISH is diagnosed based on a combination of clinical symptoms and imaging studies. X-rays are typically used to identify the characteristic flowing calcifications along the sides of the vertebrae of the spine. | DISH is diagnosed based on a combination of clinical symptoms and imaging studies. X-rays are typically used to identify the characteristic flowing calcifications along the sides of the vertebrae of the spine. | ||
== Treatment == | == Treatment == | ||
There is no cure for DISH, but treatments can help manage symptoms. These may include: | There is no cure for DISH, but treatments can help manage symptoms. These may include: | ||
* Pain relievers | * Pain relievers | ||
* Physical therapy | * Physical therapy | ||
* Surgery, in severe cases | * Surgery, in severe cases | ||
==Gallery== | |||
<gallery> | |||
File:Thoracic_spine_Lat.png|Diffuse idiopathic skeletal hyperostosis | |||
File:Thoracic_spine_AP.png|Diffuse idiopathic skeletal hyperostosis | |||
File:Calcification_in_Achilles_tendon_insertion_and_calcaneal_spur.png|Diffuse idiopathic skeletal hyperostosis | |||
File:Ossifikation_Ligamentum_longitudinale_posterius_HWS_bei_DISH_-_CT_axial_und_sagittal_-_001.jpg|Diffuse idiopathic skeletal hyperostosis | |||
File:3DPOSTERIORRIBS_(top)_Nov_2018.jpg|Diffuse idiopathic skeletal hyperostosis | |||
</gallery> | |||
== See also == | == See also == | ||
* [[Osteoarthritis]] | * [[Osteoarthritis]] | ||
* [[Rheumatoid arthritis]] | * [[Rheumatoid arthritis]] | ||
* [[Spondylosis]] | * [[Spondylosis]] | ||
== References == | == References == | ||
<references /> | <references /> | ||
[[Category:Rheumatology]] | [[Category:Rheumatology]] | ||
[[Category:Bone disorders]] | [[Category:Bone disorders]] | ||
[[Category:Rare diseases]] | [[Category:Rare diseases]] | ||
{{stub}} | {{stub}} | ||
Latest revision as of 18:23, 5 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD's medical weight loss NYC, sleep center NYC
Philadelphia medical weight loss and Philadelphia sleep clinics
| Diffuse idiopathic skeletal hyperostosis | |
|---|---|
| Synonyms | Forestier's disease |
| Pronounce | N/A |
| Specialty | Rheumatology |
| Symptoms | Stiffness, pain in the back or neck, limited range of motion |
| Complications | Dysphagia, spinal cord compression |
| Onset | Typically middle-aged and older adults |
| Duration | Chronic |
| Types | N/A |
| Causes | Unknown |
| Risks | Obesity, type 2 diabetes, metabolic syndrome |
| Diagnosis | X-ray, CT scan, MRI |
| Differential diagnosis | Ankylosing spondylitis, osteoarthritis, spondylosis |
| Prevention | N/A |
| Treatment | Physical therapy, pain management, surgery in severe cases |
| Medication | NSAIDs, analgesics |
| Prognosis | N/A |
| Frequency | Common in older adults |
| Deaths | N/A |
Diffuse idiopathic skeletal hyperostosis (DISH) is a condition characterized by abnormal calcification/bone growth across joints and ligaments, primarily affecting the spine and major joints of the body. It is also known as Forestier's disease after the French physician who first identified it in the early 20th century.
Symptoms[edit]
The symptoms of DISH vary depending on the location and severity of the condition. Some people with DISH may not have any symptoms, while others may experience:
- Stiffness, especially in the morning
- Pain in the back, neck, or joints
- Difficulty swallowing (dysphagia) or a hoarse voice
- Loss of range of motion in the affected joints
- Tenderness over the affected areas
Causes[edit]
The exact cause of DISH is unknown. However, it is believed to be related to factors such as:
- Age: DISH is more common in older adults.
- Gender: Men are more likely to develop DISH than women.
- Obesity: People who are overweight or obese are more likely to develop DISH.
- Diabetes and other conditions that affect the body's metabolism
Diagnosis[edit]
DISH is diagnosed based on a combination of clinical symptoms and imaging studies. X-rays are typically used to identify the characteristic flowing calcifications along the sides of the vertebrae of the spine.
Treatment[edit]
There is no cure for DISH, but treatments can help manage symptoms. These may include:
- Pain relievers
- Physical therapy
- Surgery, in severe cases
Gallery[edit]
-
Diffuse idiopathic skeletal hyperostosis
-
Diffuse idiopathic skeletal hyperostosis
-
Diffuse idiopathic skeletal hyperostosis
-
Diffuse idiopathic skeletal hyperostosis
-
Diffuse idiopathic skeletal hyperostosis
See also[edit]
References[edit]
<references />



