A case of Diffuse Idiopathic Skeletal Hyperostosis (DISH) Presented with Idiopathic Hypoparathyroidism and Diabetes Mellitus.
- Author:
Yun Jeong LIM
1
;
Eun Kwang CHOI
;
Jae Chun LEE
;
Yoo Sook CHO
;
Mi Kyoung LIM
;
Sung Moon KIM
;
Sung Kwan HONG
;
Bin YOO
;
Hee Bom MOON
Author Information
1. Department of Medicine, university of Ulsan, Asan Medical Center, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
DISH;
Diabetes mellitus;
Idiopathic hypoparathyroidism
- MeSH:
Back Pain;
Bone Density;
Diabetes Mellitus*;
Femur Neck;
Foot;
Hand;
Humans;
Hyperostosis, Diffuse Idiopathic Skeletal*;
Hypesthesia;
Hypocalcemia;
Hypoparathyroidism*;
Ligaments;
Parathyroid Hormone;
Sacroiliac Joint;
Spine
- From:The Journal of the Korean Rheumatism Association
1999;6(2):197-201
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Diffuse Idiopathic Skeletal Hyperostosis (DISH) is a skeletal disease characterized by ligamentous ossification of the anterolateral side of the spine. Paravertebral and ligamentous ossification appears to be an usual complication of hypoparathyroidism. Diabetes Mellitus has often been mentioned in associated with DISH. The patient was presented with back pain, stiffness and intermittent numbness of hands and feet. Spine X-ray showed extensive ligamentous ossification of the anterolateral side of the spine with normal disc space height. Sacroiliac joints are normal. Increased bone mineral density of the L-spine and femur neck was observed, as well. Hypocalcemia, hyperphophatemia and low intact parathyroid hormone level were detected. Postprandial sugar were elevated. HLA B27 was negative.
