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A Case of Diffuse Idiopathic Skeletal Hyperostosis Presenting with Dysphagia Secondary to Cervical Osteophyte and Restrictive Ventilatory Impairment / 대한내과학회지
Korean Journal of Medicine ; : 120-125, 2014.
Article ي Ko | WPRIM | ID: wpr-116740
المكتبة المسؤولة: WPRO
ABSTRACT
Diffuse idiopathic skeletal hyperostosis (DISH) is a condition characterized by the calcification and ossification of soft tissue, and can lead to severe cervical kyphosis, presenting with a spectrum of physical complaints including dysphagia, hoarseness, stridor, aspiration pneumonia, and dyspnea due to airway compromise. Restrictive ventilatory impairment is very rare. We encountered a 73-year-old man with DISH presenting with progressive dysphagia and dyspnea over a few months. The symptoms were evaluated with a video fluoroscopy swallowing study and pulmonary function tests (PFT). The PFT revealed restrictive ventilatory impairment. A neck magnetic resonance imaging (MRI) study showed anterior cervical osteophytes causing upper airway compromise and compression of the esophagus. Osteophytes were removed surgically and the patient improved clinically. Here, we describe the case with a literature review.
الموضوعات
Key words
النص الكامل: 1 الفهرس: WPRIM الموضوع الرئيسي: Pneumonia, Aspiration / Respiratory Function Tests / Magnetic Resonance Imaging / Fluoroscopy / Deglutition Disorders / Respiratory Sounds / Hoarseness / Deglutition / Hyperostosis, Diffuse Idiopathic Skeletal / Dyspnea المحددات: Aged / Humans اللغة: Ko مجلة: Korean Journal of Medicine السنة: 2014 نوع: Article
النص الكامل: 1 الفهرس: WPRIM الموضوع الرئيسي: Pneumonia, Aspiration / Respiratory Function Tests / Magnetic Resonance Imaging / Fluoroscopy / Deglutition Disorders / Respiratory Sounds / Hoarseness / Deglutition / Hyperostosis, Diffuse Idiopathic Skeletal / Dyspnea المحددات: Aged / Humans اللغة: Ko مجلة: Korean Journal of Medicine السنة: 2014 نوع: Article