Al-Jafari Mohammad, Abu Tapanjeh Sarah, Al-Azzawi Harith, Abu Eid Sura, Baidoun Huda J, Abu-Jeyyab Mohammad, Sarhan Mohammed Y, Jbara Hiba, Akel Alaa
College of Medicine, Mutah University, Al-Karak, JOR.
College of Medicine, Jordan University, Amman, JOR.
Cureus. 2023 Sep 6;15(9):e44762. doi: 10.7759/cureus.44762. eCollection 2023 Sep.
Diffuse idiopathic skeletal hyperostosis (DISH) is a condition that causes abnormal bone growth at the sites of ligament insertion, mainly in the spine. It is of unknown etiology and usually affects older males. It is often asymptomatic, but it can sometimes cause dysphagia if it affects the anterior cervical spine. We report the case of a 50-year-old male patient with DISH who presented with chronic dysphagia and was diagnosed with a large cervical osteophyte compressing the esophagus. The patient had a history of several comorbidities, including diabetes, hypertension, stroke, and gout. He underwent surgical removal of the osteophyte and recovered well. We discuss the clinical features, diagnosis, and treatment options for this rare complication of DISH.
弥漫性特发性骨肥厚（DISH）是一种导致韧带附着部位异常骨质增生的病症，主要发生在脊柱。其病因不明，通常影响老年男性。该病常无症状，但如果影响颈椎前路，有时会导致吞咽困难。我们报告一例50岁患有DISH的男性患者，该患者表现为慢性吞咽困难，经诊断为巨大颈椎骨赘压迫食管。该患者有多种合并症病史，包括糖尿病、高血压、中风和痛风。他接受了骨赘切除术，恢复良好。我们讨论了DISH这种罕见并发症的临床特征、诊断和治疗选择。
