%0 Journal Article
%T Forestier¡¯s disease with complete spinal involvement
%A Ankur Nandan Varshney
%A Ravi Anand
%A Nilesh Kumar
%A Nand Kumar Singh
%J Internet Journal of Rheumatology and Clinical Immunology
%D 2013
%I ChanRe Journals
%X A 70-year-old diabetic and hypertensive male patient visited our clinic with complaints of non-inflammatory back pain since two years. He was heavy built with a BMI of 29 kg/m2. Physical examination revealed limitation of flexion, extension, and lateral flexion of lumbar spine. X-ray of spine revealed flowing calcification of anterior longitudinal ligaments from cervical to lumbar spine with claw osteophytes giving rise to characteristic ¡®Melting Wax¡¯ appearance (Panel A: fig A- cervical anteroposterior (AP), fig B- cervical lateral , fig C- lumbar AP , fig D- lumbar lateral) (Panel B: fig E- thoracolumbar AP, fig F- thoracolumbar lateral). Sacroiliac joints were normal (Panel A: fig C- white arrow). The diagnosis was diffuse idiopathic skeletal hyperostosis (DISH or Forestier¡¯s disease) and symptomatic treatment was initiated.
%K Forestier¡¯s disease
%K diffuse idiopathic skeletal hyperostosis
%U http://www.chanrejournals.com/index.php/rheumatology/article/view/39/html