How common is diffuse idiopathic skeletal hyperostosis in Diabetes
DISH is diffuse idiopathic skeletal hyperostosis, also known as Forestier’s disease. It occurs in up to 20% of patients with type 2 diabetes; patients are typically obese and aged over 50 years. Patients present with neck and back stiffness associated with loss of motion. Pain is not prominent. Radiographs are diagnostic and consist of at least four vertebrae fused together as a result of ossification of the anterior longitudinal ligament. Disc spaces, apophyseal joints, and sacroiliac joints are normal, helping to separate it from osteoarthritis and ankylosing spondylitis. Treatment typically consists of NSAIDs and physical therapy
