Summary
To the best of our knowledge, only two patients with concurrent diffuse idiopathic skeletal hyperostosis (DISH) and ankylosing spondylitis (AS) have been reported so far. Here we present 3 patients in whom clinical and radiological findings indicative of DISH and AS coexisted. Two of these cases exhibited HLA B27. Although the presence of sacroiliitis would appear to exclude DISH, calcification and ossification of the anterior common vertebral ligament (ACVL) confirmed diagnosis of the latter disease.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Forestier, J., Rotes Querol, J. Senile ankylosing spondylitis of the spine. Ann Rheum Dis 1950, 9, 321–330.
Resnick, D., Shaul, S.R., Robins, J.M. Diffuse idiopathic skeletal hyperostosis (DISH): Forestier's disease with extraspinal manifestations. Radiology 1975, 115, 513–524.
Williamson, P.K., Reginato, A. Diffuse idiopathic skeletal hyperostosis of the cervical spine in a patient with ankylosing spondylitis. Arthritis Rheum 1984, 27, 570–573.
Olivieri, I., Trippi, D., Gherardi, S., Pasero, G. Coexistence of ankylosing spondylitis and diffuse idiopathic skeletal hyperostosis: another report. J Rheumatol 1987, 14, 1058–1060.
Robles-Ruiz, E., Rojo-Mejia, A., Harrinson-Garcia-Calderón, J., Piscoya-Arbanil, J. Diffuse idiopathic skeletal hyperostosis: clinical and radiological manifestations in 50 patients. Arthritis Rheum 1982, 25 supp, B75, S101.
Resnick, D., Shapiro, R.F., Weisner, K.B., Niwayama, G., Utsinger, P.D., Shaul, S.R. Diffuse idiopathic skeletal hyperostosis (DISH): ankylosing hyperostosis of Forestier and Roter Querol. Semin Arthritis Rheum 1978, 7, 153–187.
Resnick, D., Niwayama, G. Radiographic and pathologic features of spinal involvement in diffuse idiopathic skeletal hyperostosis (DISH). Radiology 1976, 119, 559–568.
Utsinger, P., Resnick, D., Shapiro, R. Diffuse skeletal abnormalities in Forestier disease. Arch Intern Med 1976, 136, 763–768.
Breweton, D.A., Hart, F.D., Nicholls, A. Ankylosing spondylitis and HLA B27. Lancet 1973, 1, 904–907.
Bennet, P.H., Burch, T.A. New York Symposium of population studies in rheumatic disease. Bull Rheum Dis 1967, 17, 453–458.
Yagan, R., Kahn, M.S. Confusion of roentgenographic differential diagnosis between ankylosing hyperostosis (Forestier disease) and ankylosing spondylitis. Clin Rheumatol 1983, 2, 285–293.
Brigada, M., François, R., Dory, M. Radiological study of the sacroiliac joints in vertebral ankylosing hyperostosis. Ann Rheum Dis 1982, 41, 225–231.
Cammisa, M., Lomuto, M., Bonetti, M.G. Sacroiliitis in seronegative polyarthritis: CT analysis. Clin Exp Rheumatol 1987, 5/S-1, 105–107.
Carrera, G., Foley, W., Kozin, F., Ryan, L., Lawson, T. CT of sacroiliitis. AJR 1981, 136, 41–46.
Lawson, T., Foley, W., Carrera, G., Berland, L. The sacroiliac joints: anatomic plain roentgenographic and computed tomographic analysis. J Comput Assist Tomogr 1982, 6, 307–314.
Durback, M., Edelstein, G., Schumacher, R. Abnormalities of the sacroiliac joints in diffuse idiopathic skeletal hyperostosis: demonstration by computarized tomography. J Rheumatol 1988, 15, 1506–1511.
McEwen, C., Di Tata, D., Lingg, C.I., Porrini, A.A., Good, A., Rankin, T. Ankylosing spondylitis and spondylitis accompanying ulcerative colitis, regional enteritis, psoriasis and Reiter's disease. Arthritis Rheum 1971, 14, 291–318.
Yagan, R., Kahn, M.A., Behon, E.M. Spondylitis and posterior longitudinal ligament ossification in the cervical spine. Arthritis Rheum 1983, 26, 226–230.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Rillo, O.L., Scheines, E.J., Moreno, C. et al. Coexistence of diffuse idiopathic skeletal hyperostosis and ankylosing spondylitis. Clin Rheumatol 8, 499–503 (1989). https://doi.org/10.1007/BF02032103
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02032103