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DISH and Ankylosing Spondylitis Not Mutually Exclusive

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]