cervical

Spondyloepiphyseal dysplasia (SED)

Engelmann's Disease

 

Progressive diaphyseal dysplasia

- marked thickening of cortices of long bones

 

Present

 

Young child with gait disturbance and limb pain

 

Clinical

 

Bilateral symmetrical diaphyseal sclerosis of long bones

- Affects endosteal & periosteal new bone

- Metaphysis & epiphysis are normal

 

Skull base sclerotic

- can get blindness and deafness

DISH

Definition

 

Diffuse Idiopathic Skeletal Hyperostosis

- non-inflammatory disease

- ossifying enthesopathy / bone forming diasthesis

- most commonly involves spine / anterior longitudinal ligament

 

AKA  Forestier's disease

 

DDx

 

Ankylosing Spondylosis

 

DISH

- non inflammatory

- no facet or SIJ involvement

- no squaring of anterior vertebral body

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