Diffuse Idiopathic Skeletal Hyperostosis Wheeless

Description: Wheeless' Textbook of Orthopaedics
also known as Forestier's disease; - disease involves non-marginal syndesmophytes present at at three successful vertebral levels; - commonly there will be no disc & joint narrowing & nor osteoarthritis; - differentiated from AS, w/ marginal syndesmophytes; - more common in elderly men; - DISH is associated w/ low back pain and is more common in patients w/ diabetes and gout; - prevelance of DISH may be as high as 28%;