Be vigilant for diffuse idiopathic skeletal hyperostosis in patients who have ankylosing spondylitis, since they may be less clearly symptomatic.
Reference1. Kuperus JS, Waalwijk JF, Regan EA, et al. Simultaneous occurrence of ankylosing spondylitis and diffuse idiopathic skeletal hyperostosis: a systematic review. Rheumatology. 2018 Jul 27. doi: 10.1093/rheumatology/key211. [Epub ahead of print]
Kuperus and fellow researchers in the Netherlands have discovered a significant number of patients with diffuse idiopathic skeletal hyperostosis (DISH) also have ankylosing spondylitis (AS) and suggest a review of the criteria for DISH.1 Scroll through the slides for the details of their study and the take-home points for physicians.
