Diffuse Idiopathic Skeletal Hyperostosis: Persistent Sore Throat and Dysphagia in an Elderly Smoker Male
Diffuse idiopathic skeletal hyperostosis (DISH) is rarely symptomatic. However, it can present with dyspnea, hoarseness, dysphagia, and stridor. An 80-year-old chronic smoker male presented with 6-month history of sore throat and progressive dysphagia. Computed tomography of the neck revealed bulky...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/2567672 |
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| author | Ana Goico-Alburquerque Beenish Zulfiqar Ranae Antoine Mohammed Samee |
| author_facet | Ana Goico-Alburquerque Beenish Zulfiqar Ranae Antoine Mohammed Samee |
| author_sort | Ana Goico-Alburquerque |
| collection | DOAJ |
| description | Diffuse idiopathic skeletal hyperostosis (DISH) is rarely symptomatic. However, it can present with dyspnea, hoarseness, dysphagia, and stridor. An 80-year-old chronic smoker male presented with 6-month history of sore throat and progressive dysphagia. Computed tomography of the neck revealed bulky anterior bridging syndesmophytes along the anterior aspect of the cervical spine and facet effusion involving four contiguous vertebrae consistent with DISH. Dysphagia secondary to DISH was diagnosed. Fiberoptic laryngoscopy showed bilateral vocal cord paralysis. Patient’s airway became compromised requiring tracheostomy tube placement. After discussion of therapeutic options, patient agreed on a percutaneous endoscopic gastrostomy tube insertion for nutritional support. Osteophytectomy was left to be discussed further. |
| format | Article |
| id | doaj-art-3d4a876a083048d4976ea9d1666ac09c |
| institution | OA Journals |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-3d4a876a083048d4976ea9d1666ac09c2025-08-20T02:39:09ZengWileyCase Reports in Medicine1687-96271687-96352017-01-01201710.1155/2017/25676722567672Diffuse Idiopathic Skeletal Hyperostosis: Persistent Sore Throat and Dysphagia in an Elderly Smoker MaleAna Goico-Alburquerque0Beenish Zulfiqar1Ranae Antoine2Mohammed Samee3Internal Medicine Department, Advocate Illinois Masonic Medical Center, Chicago, IL, USAInternal Medicine Department, Advocate Illinois Masonic Medical Center, Chicago, IL, USAInternal Medicine Department, Advocate Illinois Masonic Medical Center, Chicago, IL, USAInternal Medicine Department, Advocate Illinois Masonic Medical Center, Chicago, IL, USADiffuse idiopathic skeletal hyperostosis (DISH) is rarely symptomatic. However, it can present with dyspnea, hoarseness, dysphagia, and stridor. An 80-year-old chronic smoker male presented with 6-month history of sore throat and progressive dysphagia. Computed tomography of the neck revealed bulky anterior bridging syndesmophytes along the anterior aspect of the cervical spine and facet effusion involving four contiguous vertebrae consistent with DISH. Dysphagia secondary to DISH was diagnosed. Fiberoptic laryngoscopy showed bilateral vocal cord paralysis. Patient’s airway became compromised requiring tracheostomy tube placement. After discussion of therapeutic options, patient agreed on a percutaneous endoscopic gastrostomy tube insertion for nutritional support. Osteophytectomy was left to be discussed further.http://dx.doi.org/10.1155/2017/2567672 |
| spellingShingle | Ana Goico-Alburquerque Beenish Zulfiqar Ranae Antoine Mohammed Samee Diffuse Idiopathic Skeletal Hyperostosis: Persistent Sore Throat and Dysphagia in an Elderly Smoker Male Case Reports in Medicine |
| title | Diffuse Idiopathic Skeletal Hyperostosis: Persistent Sore Throat and Dysphagia in an Elderly Smoker Male |
| title_full | Diffuse Idiopathic Skeletal Hyperostosis: Persistent Sore Throat and Dysphagia in an Elderly Smoker Male |
| title_fullStr | Diffuse Idiopathic Skeletal Hyperostosis: Persistent Sore Throat and Dysphagia in an Elderly Smoker Male |
| title_full_unstemmed | Diffuse Idiopathic Skeletal Hyperostosis: Persistent Sore Throat and Dysphagia in an Elderly Smoker Male |
| title_short | Diffuse Idiopathic Skeletal Hyperostosis: Persistent Sore Throat and Dysphagia in an Elderly Smoker Male |
| title_sort | diffuse idiopathic skeletal hyperostosis persistent sore throat and dysphagia in an elderly smoker male |
| url | http://dx.doi.org/10.1155/2017/2567672 |
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