Diabetes mellitus and hypertension as risk factors for early diffuse idiopathic skeletal hyperostosis (DISH)

Individuals in the fifth decade of life are likely to be affected by DISH if they are obese, have a first degree relative with either HTS or DM, complain of lumbar or thoracic spinal pain, and are affected by enthesopathies or tendonitis. The likelihood of relatively young patients with ≥3 clinical parameters to be affected with DISH, was six times higher than age and sex matched controls (P = 0.004).