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Case Reports in Medicine
Volume 2017, Article ID 2567672, 4 pages
Case Report

Diffuse Idiopathic Skeletal Hyperostosis: Persistent Sore Throat and Dysphagia in an Elderly Smoker Male

Internal Medicine Department, Advocate Illinois Masonic Medical Center, Chicago, IL, USA

Correspondence should be addressed to Ana Goico-Alburquerque; moc.liamg@ociogana

Received 4 July 2017; Accepted 16 August 2017; Published 14 September 2017

Academic Editor: Walter Zidek

Copyright © 2017 Ana Goico-Alburquerque et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Diffuse idiopathic skeletal hyperostosis (DISH) is rarely symptomatic. However, it can present with dyspnea, hoarseness, dysphagia, and stridor. An 80-year-old chronic smoker male presented with 6-month history of sore throat and progressive dysphagia. Computed tomography of the neck revealed bulky anterior bridging syndesmophytes along the anterior aspect of the cervical spine and facet effusion involving four contiguous vertebrae consistent with DISH. Dysphagia secondary to DISH was diagnosed. Fiberoptic laryngoscopy showed bilateral vocal cord paralysis. Patient’s airway became compromised requiring tracheostomy tube placement. After discussion of therapeutic options, patient agreed on a percutaneous endoscopic gastrostomy tube insertion for nutritional support. Osteophytectomy was left to be discussed further.