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CLINICOPATHOLOGICAL PEARLS
Year : 2020  |  Volume : 3  |  Issue : 2  |  Page : 139-141

DISHphagia and DISHphonia DISHguised as a stroke


Department of Internal Medicine, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi Arabia

Correspondence Address:
Abdulrahman Khalid Alfadhel
PO Box 1291, Ar Rawdhah, Khurias Road, Riyadh
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JNSM.JNSM_47_19

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Diffuse idiopathic skeletal hyperostosis (DISH) is a noninflammatory condition that usually affects the elderly patients with several metabolic derangements. It is characterized by symptoms that mimic more sinister conditions such as stroke or malignancy. Indeed, this diagnosis can easily be “DISHmissed” if not considered in the differential diagnosis. Dysphagia is the most common symptom reported by patients with DISH. Always due to cervical osteophytes, dysphagia due to DISH has been described as DISHphagia. Extrapolation of this terminology to DISHphonia, DISHpnea, DISHpepsia, and DISHesthesia may increase awareness of the plethora of symptoms that may be caused by DISHplacement of anatomy. This is clinically significant because the prevalence of DISH is likely to increase, and DISH can be managed with conservative, medical, and surgical therapies.


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