Diffuse idiopathic skeletal hyperostosis

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Diffuse idiopathic skeletal hyperostosis
X-ray of thoracic column showing 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

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

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

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

There is no cure for DISH, but treatments can help manage symptoms. These may include:

• Pain relievers
• Physical therapy
• Surgery, in severe cases

Gallery

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  Diffuse idiopathic skeletal hyperostosis

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  Diffuse idiopathic skeletal hyperostosis

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  Diffuse idiopathic skeletal hyperostosis

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  Diffuse idiopathic skeletal hyperostosis

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  Diffuse idiopathic skeletal hyperostosis

See also

• Osteoarthritis
• Rheumatoid arthritis
• Spondylosis

References

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