Rillo O L, Scheines E J, Moreno C, Barreira J C, Porrini A A, Maldonado Cocco J A
Department of Rheumatology, National Institute of Rehabilitation, Buenos Aires, Argentina.
Clin Rheumatol. 1989 Dec;8(4):499-503. doi: 10.1007/BF02032103.
To the best of our knowledge, only two patients with concurrent diffuse idiopathic skeletal hyperostosis (DISH) and ankylosing spondylitis (AS) have been reported so far. Here we present 3 patients in whom clinical and radiological findings indicative of DISH and AS coexisted. Two of these cases exhibited HLA B27. Although the presence of sacroiliitis would appear to exclude DISH, calcification and ossification of the anterior common vertebral ligament (ACVL) confirmed diagnosis of the latter disease.
据我们所知，迄今为止仅报道过两例同时患有弥漫性特发性骨肥厚（DISH）和强直性脊柱炎（AS）的患者。在此，我们报告3例患者，其临床和影像学表现提示DISH与AS并存。其中2例病例显示HLA B27阳性。虽然骶髂关节炎的存在似乎可排除DISH，但前纵韧带（ACVL）的钙化和骨化证实了后者的诊断。
