Research ArticleArticle
Axial Spondyloarthritis in Diffuse Idiopathic Skeletal Hyperostosis
Kuniyuki Aso, Masaru Kato and Tatsuya Atsumi
The Journal of Rheumatology March 2022, jrheum.220082; DOI: https://doi.org/10.3899/jrheum.220082
Kuniyuki Aso
Department of Rheumatology, Endocrinology and Nephrology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan. Address correspondence to Dr. M. Kato, Department of Rheumatology, Endocrinology and Nephrology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, N15 W7, Kita-ku, 060-8648 Sapporo, Japan. Email: ktmasaru{at}med.hokudai.ac.jp. The authors declare no conflicts of interest relevant to this article. The research ethics board of the authors' institution does not require board review for a single case report when the patient's privacy is protected. Written consent was obtained from the patient.
Masaru Kato
Department of Rheumatology, Endocrinology and Nephrology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan. Address correspondence to Dr. M. Kato, Department of Rheumatology, Endocrinology and Nephrology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, N15 W7, Kita-ku, 060-8648 Sapporo, Japan. Email: ktmasaru{at}med.hokudai.ac.jp. The authors declare no conflicts of interest relevant to this article. The research ethics board of the authors' institution does not require board review for a single case report when the patient's privacy is protected. Written consent was obtained from the patient.
Tatsuya Atsumi
Department of Rheumatology, Endocrinology and Nephrology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan. Address correspondence to Dr. M. Kato, Department of Rheumatology, Endocrinology and Nephrology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, N15 W7, Kita-ku, 060-8648 Sapporo, Japan. Email: ktmasaru{at}med.hokudai.ac.jp. The authors declare no conflicts of interest relevant to this article. The research ethics board of the authors' institution does not require board review for a single case report when the patient's privacy is protected. Written consent was obtained from the patient.

Abstract
Axial spondyloarthritis (axSpA) and diffuse idiopathic skeletal hyperostosis (DISH) involve tendon and ligament ossification showing similarity on spinal radiographs. Differentiating axSpA from DISH facilitates proper treatment and improves inflammatory pain; however, the overlap between axSpA and DISH delays its diagnosis.
In this issue
The Journal of Rheumatology
Vol. 53, Issue 8
1 Aug 2026
Axial Spondyloarthritis in Diffuse Idiopathic Skeletal Hyperostosis
Kuniyuki Aso, Masaru Kato, Tatsuya Atsumi
The Journal of Rheumatology Mar 2022, jrheum.220082; DOI: 10.3899/jrheum.220082






