alexa Diffuse idiopathic skeletal hyperostosis | Japan| PDF | PPT| Case Reports | Symptoms | Treatment

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Diffuse Idiopathic Skeletal Hyperostosis

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  • Diffuse idiopathic skeletal hyperostosis

    Diffuse idiopathic skeletal hyperostosis is characterized by a tendency toward ossification of ligaments. This ossification leads to tortuous paravertebral mass anterior to and distinct (at least radiologically) from the vertebral bodies. DISH is a completely asymptomatic phenomenon; no alterations are detectable based on history or through physical examination.

  • Diffuse idiopathic skeletal hyperostosis

    Muscle stiffness, knee and elbow pain, Loss of range of motion, difficulty in swallowing are the most common symptoms. Usage of drugs like acetaminophen, NSAID?s, cortico-steroid injections can help in treating the condition. Practice of physical therapy can help in reducing muscle stiffness.

  • Diffuse idiopathic skeletal hyperostosis

    The posterior longitudinal ligament of the cervical spine is ossified in 2% of Japanese individuals but in only 0.16% of white persons. The anterior longitudinal ligament is calcified in 24% of patients with posterior longitudinal ligament ossification. Diffuse idiopathic skeletal hyperostosis (DISH) was reported in 17% of individuals in the Netherlands, paradoxically with male predominance. Diffuse idiopathic skeletal hyperostosis is present in approximately 19% of men older than 50 years but is found in only 4% of women in this age group.

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