E-ISSN 2602-4837
A rare cause of dysphagia: Forestier’s disease [Tr-ENT]
Tr-ENT. 2010; 20(3): 150-153

A rare cause of dysphagia: Forestier’s disease

Özlem Kara1, Cihan Akgül Özmen, Müzeyyen Yıldırım Baylan, Hasan Nazaroğlu

Forestier’s disease is a rare rheumatologic disease
characterized by ossification in various spinal and
extraspinal ligaments especially the anterior longitudinal
ligament. The hypertrophic bone proliferations seen
in cervical involvement may be so extensive causing
dysphagia. We present Forestier’s disease as a rare
cause of dysphagia with clinical and radiological findings.
An 80-year-old male was admitted for 2-3 months’
increasing dysphagia and sore throat. Examination of
the oropharynx revealed a 3 cm painless, hard swelling
posterior to the epiglottis. A large area of ossification
was detected in the anterior portion of the C2-7 vertebrae
on lateral cervical roentgenogram. Neck computed
tomography revealed bridging hyperosseous changes
in the anterior longitudinal ligament between the C2-7
vertebrae and narrowing of the pharyngeal passage. A
lesion with similar intensity to adjacent vertebrae and
heterogeneous appearance lying along the anterior
longitudinal ligament was seen on cervical magnetic
resonance imaging. We interpreted the large osseous
lesion to be an ossified anterior longitudinal ligament
causing dysphagia, and a diagnosis of Forestier’s disease
was based on these findings. Forestier’s disease
must be kept in mind as a rare etiology in the differential
diagnosis of dysphagia.

Keywords: Computed tomography; dysphagia; Forestier’sdisease.

Disfajinin nadir bir nedeni: Forestier hastalığı

Özlem Kara1, Cihan Akgül Özmen, Müzeyyen Yıldırım Baylan, Hasan Nazaroğlu

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Anahtar Kelimeler: Bilgisayarlı tomografi; disfaji; Forestierhastalığı.

Özlem Kara, Cihan Akgül Özmen, Müzeyyen Yıldırım Baylan, Hasan Nazaroğlu. A rare cause of dysphagia: Forestier’s disease. Tr-ENT. 2010; 20(3): 150-153

Corresponding Author: Özlem Kara
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