Dysphagia revealing diffuse idiopathic skeletal hyperostosis: report of two cases and literature review

  • Monia Ghammam ENT Department and Cervical Surgery Farhat Hached Hospital, Medicine University, Sousse, Tunisia
  • Jihene Houas ENT Department and Cervical Surgery Farhat Hached Hospital, Medicine University, Sousse, Tunisia
  • Mouna Bellakhdher ENT Department and Cervical Surgery Farhat Hached Hospital, Medicine University, Sousse, Tunisia
  • Mohamed Abdelkefi ENT Department and Cervical Surgery Farhat Hached Hospital, Medicine University, Sousse, Tunisia
Keywords: Musculoskeletal disorder; ligaments; calcification, dysphagia

Abstract

Diffuse Idiopathic Skeletal Hyperostosis (DISH) also known as Forestier's disease, is a musculoskeletal disorder characterized by the calcification of ligaments essentially the vertebral longitudinal anterior ligament. Men are generally affected. It is often asymptomatic. The most common extra-spinal clinical manifestation of this disease presents as dysphagia followed by respiratory disturbances such as dyspnea and sleep apnea. In this paper we discuss two cases where the patients have experienced progressive dysphagia. Radiological findings were compatible with DISH. The management was based on diet modification and anti-inflammatory medication.

Published
2019-04-17
Section
Articles

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eISSN: 1937-8688