Dysphagia due to Diffuse Idiopathic Skeletal Hyperostosis
Diffuse idiopathic skeletal hyperostosis (DISH) is usually asymptomatic. However, rarely, it causes dysphagia, hoarseness, dyspnea, snoring, stridor, and laryngeal edema. Herein, we present a patient with DISH causing dysphagia. A 70-year-old man presented with a 4-month history of sore throat, dysp...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2012/123825 |
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| author | Masafumi Ohki |
| author_facet | Masafumi Ohki |
| author_sort | Masafumi Ohki |
| collection | DOAJ |
| description | Diffuse idiopathic skeletal hyperostosis (DISH) is usually asymptomatic. However, rarely, it causes dysphagia, hoarseness, dyspnea, snoring, stridor, and laryngeal edema. Herein, we present a patient with DISH causing dysphagia. A 70-year-old man presented with a 4-month history of sore throat, dysphagia, and foreign body sensation. Flexible laryngoscopy revealed a leftward-protruding posterior wall in the hypopharynx. Computed tomography and magnetic resonance imaging revealed a bony mass pushing, anteriorly, on the posterior hypopharyngeal wall. Ossification included an osseous bridge involving 5 contiguous vertebral bodies. Dysphagia due to DISH was diagnosed. His symptoms were relieved by conservative therapy using anti-inflammatory drugs. However, if conservative therapy fails and symptoms are severe, surgical treatments must be considered. |
| format | Article |
| id | doaj-art-b5e3bd57369d47e1a397b66dbacd0432 |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-b5e3bd57369d47e1a397b66dbacd04322025-02-03T01:26:47ZengWileyCase Reports in Otolaryngology2090-67652090-67732012-01-01201210.1155/2012/123825123825Dysphagia due to Diffuse Idiopathic Skeletal HyperostosisMasafumi Ohki0Department of Otolaryngology, Saitama Medical Center, 1981 Kamoda, Kawagoe-shi, Saitama 350-8550, JapanDiffuse idiopathic skeletal hyperostosis (DISH) is usually asymptomatic. However, rarely, it causes dysphagia, hoarseness, dyspnea, snoring, stridor, and laryngeal edema. Herein, we present a patient with DISH causing dysphagia. A 70-year-old man presented with a 4-month history of sore throat, dysphagia, and foreign body sensation. Flexible laryngoscopy revealed a leftward-protruding posterior wall in the hypopharynx. Computed tomography and magnetic resonance imaging revealed a bony mass pushing, anteriorly, on the posterior hypopharyngeal wall. Ossification included an osseous bridge involving 5 contiguous vertebral bodies. Dysphagia due to DISH was diagnosed. His symptoms were relieved by conservative therapy using anti-inflammatory drugs. However, if conservative therapy fails and symptoms are severe, surgical treatments must be considered.http://dx.doi.org/10.1155/2012/123825 |
| spellingShingle | Masafumi Ohki Dysphagia due to Diffuse Idiopathic Skeletal Hyperostosis Case Reports in Otolaryngology |
| title | Dysphagia due to Diffuse Idiopathic Skeletal Hyperostosis |
| title_full | Dysphagia due to Diffuse Idiopathic Skeletal Hyperostosis |
| title_fullStr | Dysphagia due to Diffuse Idiopathic Skeletal Hyperostosis |
| title_full_unstemmed | Dysphagia due to Diffuse Idiopathic Skeletal Hyperostosis |
| title_short | Dysphagia due to Diffuse Idiopathic Skeletal Hyperostosis |
| title_sort | dysphagia due to diffuse idiopathic skeletal hyperostosis |
| url | http://dx.doi.org/10.1155/2012/123825 |
| work_keys_str_mv | AT masafumiohki dysphagiaduetodiffuseidiopathicskeletalhyperostosis |