It isn't clear what causes diffuse idiopathic skeletal hyperostosis, but doctors have some idea of what can increase your risk of the condition. Risk factors include:
Nov. 02, 2012
- Sex. Men are more likely to develop DISH.
- Older age. DISH is most common in older adults, especially in people older than 50.
- Diabetes and other conditions. People with type 2 diabetes may be more likely to develop DISH than are those who don't have diabetes. Other conditions that may raise insulin levels in your body may also increase your risk, including hyperinsulinemia, prediabetes and obesity.
- Certain medications. Long-term use of medications called retinoids, such as isotretinoin (Amnesteem, Claravis, others), which are similar to vitamin A, can increase your risk of diffuse idiopathic skeletal hyperostosis. It isn't clear whether high intake of vitamin A increases your risk, however.
- Fierstein GS, et al. Kelley's Textbook of Rheumatology. 8th ed. Philadelphia, Pa.: Saunders Elsevier; 2009. http://www.mdconsult.com/das/book/body/194678336-3/982047756/1807/375.html#4-u1.0-B978-1-4160-3285-4..10053-1--s1130_1650. Accessed Aug. 31, 2012.
- Browner BD. Skeletal Trauma. 4th ed. Philadelphia, Pa.: Saunders Elsevier; 2009. http://www.mdconsult.com/books/page.do?eid=4-u1.0-B978-1-4160-2220-6..X1000-6&isbn=978-1-4160-2220-6&uniqId=357104634-4#4-u1.0-B978-1-4160-2220-6..X1000-6-TOP. Accessed Aug. 31, 2012.
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- Taljanovic MS, et al. Imaging characteristics of diffuse idiopathic skeletal hyperstosis with an emphasis on acute spinal fractures: Review. American Journal of Roentgenology. 2009;193:S10.
- Westerveld LA, et al. Spinal fractures in patients with ankylosing spinal disorders: A systematic review of the literature on treatment, neurological status and complications. European Spine Journal. 2009;18:145.
- Mader R, et al. Extraspinal manifestations of diffuse idiopathic skeletal hyperostosis. Rheumatology. 2009;48:1478.