Incidence of diffuse idiopathic skeletal hyperostosis from a model of dysphagia.

Author

Francisco Javier García Callejo

Affiliation

Servicio de ORL, Centro de Salud Integrado de Torrente, Consorcio-Hospital General Universitario de Valencia, Torrente, Valencia, España. Electronic address: [Email]

Abstract

OBJECTIVE : To relate symptoms of dysphagia to Forestier-Rotes Querol disease or diffuse idiopathic skeletal hyperostosis (DISH), a disorder due to ossification in the anterior longitudinal ligament and calcifications in other entheses.
METHODS : Review of clinical and radiological findings in 455 outpatients attended at our Centre with dysphagia, for 5years, referred from dental, trauma, neurological or primary health care. A diagnosis of DISH was established using Resnick's criteria.
RESULTS : We detected 51 cases with dysphagia consistent with DISH diagnostic criteria - 11.2% of subjects suffering this symptom- out of 32544 outpatients attended. An incidence of 7:100000 inhabitants per year was observed. Two cases showed significant improvement after removing the new bone in the spine.
CONCLUSIONS : DISH is an ankylosing ossification between the joints, frequently systemic but showing no clinical symptoms. When symptoms manifest, neck movements and upper airways are involved, mainly dysphagia. A few cases need surgery to relieve the calcification processes.

Keywords

Diagnosis,Diagnóstico,Diffuse idiopathic skeletal hyperostosis,Disfagia,Dysphagia,Enfermedad de Forestier,Epidemiology,Epidemiología,Forestieŕs disease,Hiperostosis esquelética difusa idiopática,Incidence,Incidencia,

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