Zarei Mohammad, Golbakhsh Mohammadreza, Rostami Mohsen, Moosavi Mersad
Department of Orthopedics, Tehran University of Medical Sciences, Tehran, Iran.
Department of Neurosurgery, Shariatic Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Adv Biomed Res. 2020 Sep 30;9:47. doi: 10.4103/abr.abr_50_20. eCollection 2020.
Diffuse idiopathic skeletal hyperostosis (DISH) also known as Forestier disease is a noninflammatory, systemic skeletal disease of unknown etiology. DISH is usually asymptomatic but may compress the posterior wall of the aero digestive tract and lead to dysphagia, globus, hoarseness, stridor, dyspnea, and neurological problems. Although dysphagia is not uncommon among the presenting symptoms of DISH but dysphonia and stridor are rarely reported. We report a 68-year-old man who presented with a history of progressive dysphagia over 1 year and recent dysphonia and stridor secondary to cervical osteophytes. We discuss the symptoms, radiological features, and management of this uncommon case of DISH in conjunction with review of literature.
弥漫性特发性骨肥厚（DISH），也称为福里斯特尔病，是一种病因不明的非炎症性全身性骨骼疾病。DISH通常无症状，但可能压迫上消化道后壁，导致吞咽困难、咽部异物感、声音嘶哑、喘鸣、呼吸困难和神经问题。虽然吞咽困难在DISH的症状中并不少见，但声音嘶哑和喘鸣很少被报道。我们报告一名68岁男性，有1年多进行性吞咽困难病史，近期因颈椎骨赘出现声音嘶哑和喘鸣。我们结合文献复习讨论了这例罕见的DISH病例的症状、影像学特征及治疗。
