FORESTYE SYNDROME

From Big Medical Encyclopedia

FORESTYo SYNDROME (J. Foresti-er, fr. doctor, 1890 — 1982; synonym; Forestye's syndrome — Roth-Kverol, a senile ankylosing hyperostosis of a backbone, a diffusion idiopathic hyperostosis of a skeleton) — a disease of a backbone of dystrophic character with calcification and ossification of a front longitudinal ligament of backbone.

It is for the first time described by Forestye and Roth-J. Rotes-Querol in 1950 as the isolated damage of a backbone at elderly persons. Further researches showed that F. the page is characterized by a generalized hyperostosis with defeat not only a front longitudinal ligament of a backbone, but also development of calcification and ossification of sheaves and sinews of other areas of a skeleton in places of their attachment to bones. Men of middle and advanced age are ill preferential. Nearly a half of patients with F. the page suffers from a diabetes mellitus.

Patomorfol. the picture of this disease is characterized by formation of hyperostoses (see), first of all in the field of perednebokovy department of a backbone where so-called bone spurs and bridges are noted. The term «bridge» is applied to designation of the seeming bone connection between two such spurs. These educations completely are not closed among themselves and sometimes remind a flame of a candle in a form. Ossification of a front longitudinal ligament of backbone can meet in all departments of a backbone, but existence of bone «spurs» and «bridges» in chest department in front and on the right side surface, especially at the level of Thvni_1x • In addition to a backbone is the most typical, the hyperostosis comes to light in the field of a hip joint, places of an attachment of sinews and sheaves to sacral, to ischiums, spits of femurs, calcaneuses, a patella, etc. At patients F. page of the phenomenon of arthrosis, a spondylosis and osteochondrosis are usually poorly expressed.

The disease develops imperceptibly more often and the long time proceeds asymptomatically, quite often comes to light accidentally. At the same time the smoothness of physiological bends of a backbone, restriction of its mobility, sometimes changes of a bearing of patients (stoop, a round back, sometimes a pose of the applicant) can be noted. Pains and constraint in a backbone are noted seldom, often in general are absent. Pain can be noted also out of a backbone (in the field of damage of sinews and sheaves).

Diagnosis F. villages establish on the basis a wedge, pictures and data rentgenol. researches. It reveals ossification of a front longitudinal ligament of backbone along four or more nearby vertebral bodies; height of intervertebral disks is kept; there is no regional sclerosis of bodies of vertebrae that is characteristic for osteokhond a rose (see), and signs of inflammatory damage of intervertebral joints and a sacroiliac joint, a cut is characteristic of Bekhterev's disease (see Bekhterev a disease).

Treatment consists in performing massage of a backbone, vertical bathtubs, LFK, and at pains — purpose of non-steroidal anti-inflammatory drugs — indometacin, Voltarenum, Brufenum, etc.

The forecast for life favorable.

Bibliography: The reference book on rheumatology, under the editorship of V. A. Nasonova, page 220, M., 1983; Forestier J. a. Rotes - Que - about 1 J. Senile ankylosing hyperostosis of the spine, Ann. rheum. Dis., v. 9, p. 321, 1950; Harris J. o. Ankylosing hyperostosis. I. Clinical and radiological features, ibid., v. 33, p. 210, 1974;

Utsinger P. D., Resnick D. Shapiro R. Diffuse skeletal abnormalities in Forestier disease, Arch, intern. Med., v. 136, p. 763, 1976. A. A. Matulis.

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