| Revista: | Revista médica de Chile |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000363096 |
| ISSN: | 0034-9887 |
| Autores: | Urrutia, Julio1 Bernardín, Andrés1 Morales, Cristián1 Millán, Rodrigo1 |
| Instituciones: | 1Pontificia Universidad Católica de Chile, Escuela de Medicina, Santiago de Chile. Chile |
| Año: | 2013 |
| Periodo: | Jun |
| Volumen: | 141 |
| Número: | 6 |
| Paginación: | 803-806 |
| País: | Chile |
| Idioma: | Español |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico |
| Resumen en inglés | Diffuse idiopathic skeletal hyperostosis (DISH) is an under-diagnosed condition producing flowing ossification of the antero-lateral ligaments of the spine. Affecting predominantly males over 65 years old, it is an unusual cause of dysphagia and dysphonia. We report a 45-year-old male with a three years history of dysphonia and three months of dysphagia. The initial diagnosis was gastroesophageal reflux, and an endoscopy ruled out esophageal luminal pathology. Cervical spine radiographs showed ossification of the cervical anterior longitudinal ligament with large, prominent osteophytes from C3 to C6, producing esophageal and upper airway compression; these images were compatible with DISH. Cervical osteophyte resection resulted in complete resolution of symptoms. DISH should be considered in the differential diagnosis of dysphagia and dysphonia |
| Disciplinas: | Medicina |
| Palabras clave: | Diagnóstico, Traumatología y ortopedia, Disfagia, Disfonía, Trastornos de la deglución, Hiperostosis esquelética difusa idiopática, Vértebras cervicales |
| Keyword: | Medicine, Diagnosis, Traumatology and orthopedics, Dysphagia, Dysphonia, Deglutition disorders, Hyperostosis, Diffuse idiopathic skeletal hyperostosis, Cervical vertebrae |
| Texto completo: | Texto completo (Ver HTML) |
