Publication at Central Library of Charles University, First Faculty of Medicine |
2004
Abstract
Diffuse idiopathic skeletal hyperostosis (DISH) is chronic systemic skeletal disorder of unknown etiology characterized by massive bone calcifications and ligament ossifications, particularly in the area of anterior longitudinal ligament. Dysphagia, resulting from the pressure exerted by cervical column ossifications to the oesophagus, is rarely diagnosed as a first symptom of the disease.
We present a case of a 69-year old patient in whom the first dominant manifestation of the disease was upper dysphagia developed in the course of 3 years when the patient experienced difficulties in swallowing, choking sensations and coughing when eating.