Anatomy and Cell Biology

  • 제51권3호
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  • Pages.174-179
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  • 2018
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  • 2093-3665(pISSN)
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  • 2093-3673(eISSN)
대한해부학회 (Korean Association of Anatomists)
권호 표지
DOI QR코드

DOI QR Code

Prevalence of diffuse idiopathic skeletal hyperostosis among elderly subjects referred for radiological investigation in tertiary hospital at Oman

  • Sirasanagandla, Srinivasa Rao (Department of Human and Clinical Anatomy, College of Medicine and Health Sciences, Sultan Qaboos University) ;
  • Al Dhuhli, Humoud (Department of Radiology, College of Medicine and Health Sciences, Sultan Qaboos University) ;
  • Al Abri, Ahmed (Department of Radiology, College of Medicine and Health Sciences, Sultan Qaboos University) ;
  • Salmi, Ahmed (Department of Radiology, College of Medicine and Health Sciences, Sultan Qaboos University) ;
  • Jayapal, Sathish Kumar (Centre of Studies and Research, Directorate General of Planning and Studies, Ministry of Health) ;
  • Sara, Crosetto (Faculty of Medicine and Surgery, University of Genova) ;
  • Jaju, Sanjay (Family Medicine & Public Health, College of Medicine and Health Sciences, Sultan Qaboos University)
  • 투고 : 2018.03.05
  • 심사 : 2018.06.12
  • 발행 : 2018.09.30
⟨ 이전 논문 다음 논문 ⟩

초록

Diffuse idiopathic skeletal hyperostosis (DISH) is characterized by calcification of different entheseal sites including the anterior longitudinal ligament of the spine. There is no documented information about DISH in Oman. This study determined the prevalence of DISH and associated factors among elderly subjects in a national tertiary care referral hospital in Oman. This retrospective study reviewed chest X-rays of all patients aged more than 50 years, referred to the radiology department of Sultan Qaboos University Hospital in the year 2016, based on the Resnick's criteria. The prevalence was expressed as proportions across age groups and sex. Chi-square test and logistic regression analysis was done to determine the association of the age and sex with DISH. A total of 1305 chest X-rays of patients were reviewed. The overall prevalence of DISH was 10%, with male to female ratio of 1.56:1. The odds ratio for males and increasing age were 1.63 (95% confidence interval [CI], 1.12-2.3; P<0.05) and 1.34 (95% CI, 1.14-1.58; P<0.001) respectively. The prevalence increased with age to maximum of 13% in the age group of ${\leq}80$. The pre-stage DISH prevalence was 9.3% and more frequently observed among males. Prevalence of DISH in the national tertiary care referral center in Oman is lower than in Jewish population, almost similar to Japanese, but higher than in Koreans. DISH prevalence is positively associated with age and sex. It is necessary to take appropriate precautionary measures to target the ageing population in Oman, especially elderly males.

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참고문헌

  1. Forestier J, Rotes-Querol J. Senile ankylosing hyperostosis of the spine. Ann Rheum Dis 1950;9:321-30. https://doi.org/10.1136/ard.9.4.321
  2. Resnick D, Shaul SR, Robins JM. Diffuse idiopathic skeletal hyperostosis (DISH): Forestier's disease with extraspinal manifestations. Radiology 1975;115:513-24. https://doi.org/10.1148/15.3.513
  3. Nascimento FA, Gatto LA, Lages RO, Neto HM, Demartini Z, Koppe GL. Diffuse idiopathic skeletal hyperostosis: a review. Surg Neurol Int 2014;5(Suppl 3):S122-5.
  4. Mata S, Fortin PR, Fitzcharles MA, Starr MR, Joseph L, Watts CS, Gore B, Rosenberg E, Chhem RK, Esdaile JM. A controlled study of diffuse idiopathic skeletal hyperostosis: clinical features and functional status. Medicine (Baltimore) 1997;76:104-17. https://doi.org/10.1097/00005792-199703000-00003
  5. Nelson RS, Urquhart AC, Faciszewski T. Diffuse idiopathic skeletal hyperostosis: a rare cause of dysphagia, airway obstruction, and dysphonia. J Am Coll Surg 2006;202:938-42. https://doi.org/10.1016/j.jamcollsurg.2006.02.030
  6. Caron T, Bransford R, Nguyen Q, Agel J, Chapman J, Bellabarba C. Spine fractures in patients with ankylosing spinal disorders. Spine (Phila Pa 1976) 2010;35:E458-64. https://doi.org/10.1097/BRS.0b013e3181cc764f
  7. Mader R. Clinical manifestations of diffuse idiopathic skeletal hyperostosis of the cervical spine. Semin Arthritis Rheum 2002; 32:130-5. https://doi.org/10.1053/sarh.2002.33726
  8. Westerveld LA, Verlaan JJ, Oner FC. Spinal fractures in patients with ankylosing spinal disorders: a systematic review of the literature on treatment, neurological status and complications. Eur Spine J 2009;18:145-56. https://doi.org/10.1007/s00586-008-0764-0
  9. DiGiovanna JJ, Helfgott RK, Gerber LH, Peck GL. Extraspinal tendon and ligament calcification associated with long-term therapy with etretinate. N Engl J Med 1986;315:1177-82. https://doi.org/10.1056/NEJM198611063151901
  10. DiGiovanna JJ. Isotretinoin effects on bone. J Am Acad Dermatol 2001;45:S176-82. https://doi.org/10.1067/mjd.2001.113721
  11. Moskowitz RW, Boja B, Denko CW. The role of growth factors in degenerative joint disorders. J Rheumatol Suppl 1991;27:147-8.
  12. Denko CW, Malemud CJ. Body mass index and blood glucose: correlations with serum insulin, growth hormone, and insulinlike growth factor-1 levels in patients with diffuse idiopathic skeletal hyperostosis (DISH). Rheumatol Int 2006;26:292-7. https://doi.org/10.1007/s00296-005-0588-8
  13. Kiss C, Szilagyi M, Paksy A, Poor G. Risk factors for diffuse idiopathic skeletal hyperostosis: a case-control study. Rheumatology (Oxford) 2002;41:27-30. https://doi.org/10.1093/rheumatology/41.1.27
  14. Troillet N, Gerster JC. Forestier disease and metabolism disorders: a prospective controlled study of 25 cases. Rev Rhum Ed Fr 1993;60:274-9.
  15. Atzeni F, Sarzi-Puttini P, Bevilacqua M. Calcium deposition and associated chronic diseases (atherosclerosis, diffuse idiopathic skeletal hyperostosis, and others). Rheum Dis Clin North Am 2006;32:413-26. https://doi.org/10.1016/j.rdc.2006.02.003
  16. Resnick D, Shapiro RF, Wiesner KB, Niwayama G, Utsinger PD, Shaul SR. Diffuse idiopathic skeletal hyperostosis (DISH) [ankylosing hyperostosis of Forestier and Rotes-Querol]. Semin Arthritis Rheum 1978;7:153-87. https://doi.org/10.1016/0049-0172(78)90036-7
  17. Al-Herz A, Snip JP, Clark B, Esdaile JM. Exercise therapy for patients with diffuse idiopathic skeletal hyperostosis. Clin Rheumatol 2008;27:207-10. https://doi.org/10.1007/s10067-007-0693-z
  18. Umerah BC, Mukherjee BK, Ibekwe O. Cervical spondylosis and dysphagia. J Laryngol Otol 1981;95:1179-83. https://doi.org/10.1017/S0022215100092008
  19. Julkunen H, Heinonen OP, Knekt P, Maatela J. The epidemiology of hyperostosis of the spine together with its symptoms and related mortality in a general population. Scand J Rheumatol 1975; 4:23-7. https://doi.org/10.1080/03009747509095610
  20. Bloom RA. The prevalence of ankylosing hyperostosis in a Jerusalem population: with description of a method of grading the extent of the disease. Scand J Rheumatol 1984;13:181-9. https://doi.org/10.3109/03009748409100384
  21. Boachie-Adjei O, Bullough PG. Incidence of ankylosing hyperostosis of the spine (Forestier's disease) at autopsy. Spine (Phila Pa 1976) 1987;12:739-43. https://doi.org/10.1097/00007632-198710000-00004
  22. Cassim B, Mody GM, Rubin DL. The prevalence of diffuse idiopathic skeletal hyperostosis in African blacks. Br J Rheumatol 1990;29:131-2. https://doi.org/10.1093/rheumatology/29.2.131
  23. Weinfeld RM, Olson PN, Maki DD, Griffiths HJ. The prevalence of diffuse idiopathic skeletal hyperostosis (DISH) in two large American Midwest metropolitan hospital populations. Skeletal Radiol 1997;26:222-5. https://doi.org/10.1007/s002560050225
  24. Kiss C, O'Neill TW, Mituszova M, Szilagyi M, Poor G. The prevalence of diffuse idiopathic skeletal hyperostosis in a populationbased study in Hungary. Scand J Rheumatol 2002;31:226-9. https://doi.org/10.1080/030097402320318422
  25. Kim SK, Choi BR, Kim CG, Chung SH, Choe JY, Joo KB, Bae SC, Yoo DH, Jun JB. The prevalence of diffuse idiopathic skeletal hyperostosis in Korea. J Rheumatol 2004;31:2032-5.
  26. Pappone N, Lubrano E, Esposito-del Puente A, D'Angelo S, Di Girolamo C, Del Puente A. Prevalence of diffuse idiopathic skeletal hyperostosis in a female Italian population. Clin Exp Rheumatol 2005;23:123-4.
  27. Westerveld LA, van Ufford HM, Verlaan JJ, Oner FC. The prevalence of diffuse idiopathic skeletal hyperostosis in an outpatient population in The Netherlands. J Rheumatol 2008;35:1635-8.
  28. Kagotani R, Yoshida M, Muraki S, Oka H, Hashizume H, Yamada H, Enyo Y, Nagata K, Ishimoto Y, Teraguchi M, Tanaka S, Nakamura K, Kawaguchi H, Akune T, Yoshimura N. Prevalence of diffuse idiopathic skeletal hyperostosis (DISH) of the whole spine and its association with lumbar spondylosis and knee osteoarthritis: the ROAD study. J Bone Miner Metab 2015;33:221-9. https://doi.org/10.1007/s00774-014-0583-9
  29. Mori K, Kasahara T, Mimura T, Nishizawa K, Nakamura A, Imai S. Prevalence of thoracic diffuse idiopathic skeletal hyperostosis (DISH) in Japanese: Results of chest CT-based cross-sectional study. J Orthop Sci 2017;22:38-42. https://doi.org/10.1016/j.jos.2016.09.003
  30. Annual report 2013 [Internet]. Muscat: College of Medicine and Health Sciences and Sultan Qaboos University Hospital; 2013 [cited 2017 Aug 1]. Available from: https://www.squ.edu.om/Portals/6/AnnualReports/AnnualReport%202013LowRes.pdf?ver=2015-04-13-084000-653.
  31. Meyer M, Forester E. Considerations pathogeniques sur l'hyperostose moniliforme du flanc droit de la colonne dorsale. Rev Rhum Mal Osteoartic 1938;5:286-93.
  32. Utsinger PD. Diffuse idiopathic skeletal hyperostosis. Clin Rheum Dis 1985;11:325-51.
  33. Cammisa M, De Serio A, Guglielmi G. Diffuse idiopathic skeletal hyperostosis. Eur J Radiol 1998;27 Suppl 1:S7-11. https://doi.org/10.1016/S0720-048X(98)00036-9
  34. Strickland NH. PACS (picture archiving and communication systems): filmless radiology. Arch Dis Child 2000;83:82-6. https://doi.org/10.1136/adc.83.1.82
  35. Mata S, Hill RO, Joseph L, Kaplan P, Dussault R, Watts CS, Fitzcharles MA, Shiroky JB, Fortin PR, Esdaile JM. Chest radiographs as a screening test for diffuse idiopathic skeletal hyperostosis. J Rheumatol 1993;20:1905-10.
  36. Holton KF, Denard PJ, Yoo JU, Kado DM, Barrett-Connor E, Marshall LM; Osteoporotic Fractures in Men (MrOS) Study. Diffuse idiopathic skeletal hyperostosis and its relation to back pain among older men: the MrOS Study. Semin Arthritis Rheum 2011;41:131-8. https://doi.org/10.1016/j.semarthrit.2011.01.001
  37. Henrard JC, Bennett PH. Epidemiological study of vertebral hyperostosis. Survey in an adult population of American Indians. Rev Rhum Mal Osteoartic 1973;40:581-91.

피인용 문헌

  1. Metabolic Syndrome is a Predisposing Factor for Diffuse Idiopathic Skeletal Hyperostosis vol.18, pp.1, 2018, https://doi.org/10.14245/ns.2040350.175