Department of Otorhinolaryngology and Head and Neck Surgery, All India Institute of Medical Sciences, New Delhi, India
Department of Otorhinolaryngology and Head and Neck Surgery, Medanta The Medicity, Gurgaon, Haryana, India.
BMJ Case Rep. 2021 Jun 2;14(6):e243060. doi: 10.1136/bcr-2021-243060.
Forestier's disease is an idiopathic noninflammatory condition associated with enthesopathy leading to hyperostosis of the vertebrae and peripheral skeletal system. The disease tends to affect elderly individuals and remains asymptomatic in most of the cases. Uncommonly, the patient may present with upper aerodigestive symptomatology, usually dysphagia. In elderly individuals, the disease may closely mimic upper aerodigestive tract malignancy, which should be actively excluded. In our patient, the hypopharyngeal soft tissue distortions created by the bony hypertrophy shifted the clinicoradiological suspicion towards malignant pathology. The current case presents the diagnostic dilemma associated with the disease and the need to keep the possibility of severe cervical bony hypertrophy as a cause of upper aerodigestive symptoms in mind.
Forestier 病是一种特发性非炎症性疾病，与腱末端病相关，导致脊柱和周围骨骼系统骨质增生。该病多见于老年人，多数情况下无症状。不常见的是，患者可能出现上呼吸道症状，通常为吞咽困难。在老年人中，该疾病可能与上呼吸道恶性肿瘤非常相似，因此应积极排除。在我们的患者中，由于骨肥大导致的下咽软组织变形，使临床和影像学怀疑偏向恶性病变。本病例提出了与该疾病相关的诊断难题，并需要注意严重颈椎骨肥大作为上呼吸道症状的原因的可能性。
