Hi finleyhunting,
Thank you for your interesting question.
The name for Diffuse Idiopathic Skeletal Hyperostosis is frequently
called D.I.S.H. or DISH. It's also known as Forestier's Disease.
=================================================
D.I.S.H.
http://arthritisinsight.com/living/family/sos/dish.html
Also known as Forestier's disease. It stands for Diffuse (up and down
the spine) Idiopathic (unknown cause) Skeletal Hyperostosis (bony
overgrowth).
What this does is cause extra bone to grow, typically on the spinal
vertebrae, but also on the heel and sometimes at the shoulder. Unlike
ankylosing spondylitis, it doesn't cause spinal fusion. DISH does
cause bony prominences which get in the way of normal function. DISH
is particularly dangerous when it is cervical (the neck spine area)
because it can interfere greatly with swallowing.
One of the most interesting aspects is that the bone grows in a
characteristic "melting candle wax" shape. The extra bone looks on an
X-Ray as if it is dripping down the spine. DISH can be hard to see in
the early stages; it is crucial to try to find a radiologist who has
seen it before. The pain caused by DISH, however, is rather constant;
this helps to distinguish DISH from AS.
The excess bone can cause inflammation of the surrounding tissues.
NSAID's are the first choice of treatment. It will be interesting to
see if medicine can be developed for both AS and DISH to stop the
overgrowth of bone in its tracks. These two conditions are the
opposite kind from bone loss as in osteoporosis; with new drugs aiding
in preventing bone loss, perhaps drugs can be developed soon to go in
the opposite direction...stopping too much bone from forming.
DISH is listed on the Rare Diseases list, but the first article cited
below puts DISH at 6 to 12% of the US population, with the true
incidence expected to be higher than that. That's not rare anymore.
The increased incidence as the population over age 50 rises is
expected and provides good motivation for this information to be
shared here at the S.O. Spot of Arthritis Insight.
Much more information can be found at the websites below:
eMedicine DISH: http://www.emedicine.com/radio/topic218.htm
About.com DISH: http://orthopedics.about.com/cs/acupuncture/g/dish.htm
Focus on Arthritis-DISH or Forestier Disease:
http://www.medicinenet.com/diffuse_idiopathic_skeletal_hyperostosis/article.htm
=================================================
Forestier's disease
http://www.gpnotebook.co.uk/simplepage.cfm?ID=986710082
This is a common disease of the spine seen in the elderly. The most
striking feature is the exuberant formation of degenerative
osteophytes.
Often the condition is asymptomatic but it may present with stiffness and pain.
Management:
The patient is encouraged to keep the spine mobile with stretching exercises.
Simple analgesia is used for pain control.
=================================================
http://www.whonamedit.com/synd.cfm/1506.html
Forestier's disease
Also known as:
Forestier's syndrome
Forestier-Ott syndrome
Forestier and Rotés-Querol syndrome
Synonyms:
Degenerative ankylosing disease of the spine, diffuse idiopathic
skeletal hyperostosis, hyperostose ankylosante vertébrale (French),
hyperostosis ankylosans vertebralis senilis, spondylitis
hyperostotica, hyperostotic spondylosis, senile ankylosing
hyperostosis of the spine, senile ankylosing-vertebral hyperostosis,
spondylorheostosis.
Description:
A condition fairly common in older men, with symptoms related to spine
ossification of the anterior ligaments. It is marked by widespread
ossification in spinal ligaments and tendons. Changes in spine
simulate ankylosing spondylitis. Sacro-iliac joints spared. ESR
normal.
The term Forestier-Ott is more common in Germany.
=================================================
Diffuse Idiopathic Skeletal Hyperostosis
http://my.webmd.com/hw/health_guide_atoz/nord826.asp
Synonyms (also known as)
Diffuse Idiopathic Skeletal Hyperostosis
DISH
Spinal Diffuse Idiopathic Skeletal Hyperostosis
Spinal DISH
Vertebral Ankylosing Hyperostosis
Forestier's Disease
General Discussion
Diffuse idiopathic skeletal hyperostosis (DISH), also known as
Forestier?s disease, affects the ligaments around the spine. Sections
of the ligaments turn into bone in this disorder, which is considered
to be a form of degenerative arthritis.
The conversion of ligamental tissue to bone usually extends along the
sides of the vertebrae of the spine. (This may be called flowing
calcification.) Also, DISH is associated with inflammation
(tendinitis) and calcification of the tendons, especially at the
points at which the tendon attaches to the bones. When this happens,
the patient is said to have developed bone spurs, especially in the
heel and ankles (heel spurs).
DISH affects three or more vertebrae that are most often located in
the chest or in the spine between the chest and pelvis. It is a
disorder of older patients, more often affecting men than women ages
50-60. The disorder is often found in association with diabetes, high
blood pressure, heart disease and obesity.
=================================================
keyword search:
Diffuse Idiopathic Skeletal Hyperostosis
DISH
Forestier's disease treatments
Best regards,
tlspiegel |
