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D. Kyrmizakis, MD, DDS; A. Pangalos, MD; J. Bizakis, MD; E. Helidonis, MD
Crete, Greece

Arch Otolaryngol Head Neck Surg. 2001;127:83-85.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 75-YEAR-OLD WOMAN presented with a 6-month history of dysphagia, foreign body sensation, and a 7-kg weight loss. The head and neck examination showed an elevation of the posterior pharyngeal wall, with an intact mucosal covering at the level of the epiglottis. On palpation, the area was found to be hard, tender, and attached to the cervical spine, with no adherence to the mucosal covering. The findings of flexible esophagoscopy were unremarkable. A complete blood cell count with differential was normal. Lateral neck radiography (Figure 1), barium swallow (Figure 2), and axial computed tomography of the neck (Figure 3) were performed.

What is your diagnosis?

Figure 1.

Figure 2.

Figure 3.

Diagnosis: Dysphagia due to diffuse idiopathic skeletal hyperostosis (Forestier disease)

Ankylosing vertebral hyperostosis, described in 1950 by Forestier and Rotes-Querol, has been more recently and more accurately called diffuse idiopathic . . . [Full Text of this Article]