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Diffuse idiopathic skeletal hyperostosis (DISH) is a common degenerative enthesopathy seen in elderly with male preponderance. It is uncommon in patients before 50 years of age, and is considered extremely rare in patients younger than 40 years. We report a 33 year old unmarried woman presented with inflammatory spinal pain and stiffness, limited chest expansion, decreased range of spinal motion and postural abnormalities, all of which suggested the diagnosis of ankylosing spondylitis, considering the patient’s age. But, further evaluation led us to the final diagnosis of DISH with associated metabolic syndrome and polycystic ovarian syndrome (PCOS). To best of our knowledge, our patient is the first reported case of DISH in a woman less than 40 years of age, and also to have the association with PCOS and metabolic syndrome. Key words – Diffuse idiopathic skeletal hyperostosis, DISH, ankylosing spondylitis, metabolic syndrome, Polycystic ovarian syndrome, PCOS
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This page is a summary of: Diffuse idiopathic skeletal hyperostosis in a 33-year-old woman with PCOS and metabolic syndrome: a rare scenario, BMJ Case Reports, October 2019, BMJ,
DOI: 10.1136/bcr-2017-223740.
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