diffuse idiopathic skeletal hyperostosis (DISH, Forestier disease, ankylosing hyperostosis of the spine, spondylosis hyperostotica)

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Introduction

Variant of primary osteoarthritis.

Etiology

Epidemiology

  • occurs primarily in men > 50 years of age
  • up to 10% of elderly persons

Pathology

Clinical manifestations

Radiology

Complications

Differential diagnosis

Management

  • no treatment, none usually necessary

More general terms

Additional terms

References

  1. 1.0 1.1 Mayo Internal Medicine Board Review, 1998-99, Prakash UBS (ed) Lippincott-Raven, Philadelphia, 1998, pg 832
  2. 2.00 2.01 2.02 2.03 2.04 2.05 2.06 2.07 2.08 2.09 2.10 2.11 Medical Knowledge Self Assessment Program (MKSAP) 11, 16,17, 19. American College of Physicians, Philadelphia 1998, 2012, 2015, 2022
    Medical Knowledge Self Assessment Program (MKSAP) 19 Board Basics. An Enhancement to MKSAP19. American College of Physicians, Philadelphia 2022
  3. 3.0 3.1 Olivieri I, D'Angelo S, Palazzi C, Padula A, Mader R, Khan MA. Diffuse idiopathic skeletal hyperostosis: differentiation from ankylosing spondylitis. Curr Rheumatol Rep. 2009 Oct;11(5):321-8. PMID: https://www.ncbi.nlm.nih.gov/pubmed/19772826
  4. Mader R, Verlaan JJ, Buskila D. Diffuse idiopathic skeletal hyperostosis: clinical features and pathogenic mechanisms. Nat Rev Rheumatol. 2013 Dec;9(12):741-50. PMID: https://www.ncbi.nlm.nih.gov/pubmed/24189840
  5. Westerveld LA, van Ufford HM, Verlaan JJ, Oner FC. The prevalence of diffuse idiopathic skeletal hyperostosis in an outpatient population in The Netherlands. J Rheumatol. 2008 Aug;35(8):1635-8. Epub 2008 Jun 1 PMID: https://www.ncbi.nlm.nih.gov/pubmed/18528963