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Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders

Diffuse Idiopathic Skeletal Hyperostosis (DISH)—A Rare Etiology of Dysphagia

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Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders 2011:4 71-75

Case report

Published on 20 Sep 2011

DOI: 10.4137/CMAMD.S6949


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Abstract

Abstract: A 72-year-old gentleman presented to the hospital with progressively worsening dysphagia to soft foods and liquids. He was diagnosed with severe pharyngeal dysphagia by modified barium swallow. A CT scan of the neck with IV contrast showed anterior flowing of bridging osteophytes from C3-C6, indicative of DISH, resulting in esophageal impingement. He underwent resection of the DISH segments. Following the surgery, a PEG tube for nutrition supplementation was placed. However, the PEG tube was removed after five months when the speech and swallow evaluation showed no residual dysphagia. DISH is a rare non-inflammatory condition that results in pathological ossification and calcification of the anterolateral spinal ligaments.



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