Kumar Manish, Saha Sudip, Khan Imtiaz A, Kamath Sangita, Sunder Ashok
General Medicine, Tata Main Hospital, Jamshedpur, IND.
Cureus. 2025 Jun 30;17(6):e87042. doi: 10.7759/cureus.87042. eCollection 2025 Jun.
Diffuse idiopathic skeletal hyperostosis (DISH) is a clinical condition marked by calcification and ossification of primarily ligaments of the spine and peripheral entheses. It predominantly affects older adults, with a prevalence rate of up to 42% in individuals over 65 years. It commonly presents with dysphagia. Stridor secondary to osteophyte compression has rarely been documented. This report discusses a patient who was admitted for alcohol intoxication following binge drinking and subsequently developed respiratory distress and unexplained stridor during hospitalization. He was intubated twice and later diagnosed with cervical diffuse idiopathic skeletal hyperostosis (DISH). The patient was discharged with a tracheostomy tube in situ and referred to a higher center for surgical management.
弥漫性特发性骨肥厚（DISH）是一种临床病症，其特征主要为脊柱韧带和外周附着点的钙化与骨化。它主要影响老年人，在65岁以上人群中的患病率高达42%。其常见症状为吞咽困难。由骨赘压迫继发的喘鸣很少有文献记载。本报告讨论了一名患者，该患者因暴饮后酒精中毒入院，住院期间随后出现呼吸窘迫和不明原因的喘鸣。他接受了两次插管，后来被诊断为颈椎弥漫性特发性骨肥厚（DISH）。患者出院时气管造口管仍在位，并被转诊至上级中心进行手术治疗。
