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Paget's Disease of Bone

Diagnosis, symptoms, and treatment methods.

General Information About Paget's Disease

Paget's disease (Osteitis Deformans) is a chronic condition where the normal cycle of bone renewal (resorption and formation) is disrupted, leading to the rapid production of abnormal, weak, and deformed new bone tissue. It typically affects the pelvis, skull, and legs, causing bone deformities and pain. In our Endocrinology and Orthopedics departments, it is managed with bisphosphonate medications that halt bone destruction.

Disease Details and Frequently Asked Questions

You can access detailed information about the disease under the headings below.
What is Paget's Disease of Bone?

It is a disease where the normal process of dissolving old bone and replacing it with solid new bone goes awry, resulting in the rapid, irregular, patchy, and structurally much weaker formation of bone.

How Does It Differ from Osteoarthritis or Osteoporosis?

Osteoarthritis is the wear and tear of the joints. Osteoporosis weakens the entire skeleton. Paget's disease, however, typically affects only 1 or 2 bones regionally (e.g., the tibia or skull), making the bone thicker than before but far more brittle.

What Are the Symptoms?

Because the newly formed bone is very weak, symptoms include outward bowing of the legs (bowlegs), a constant dull ache in the bone, increased heat in the affected area, and, if it affects the skull, an increasing hat size or hearing loss.

Does It Turn Into Bone Cancer?

Although rare (less than 1% of cases), the structural abnormality of bones affected by Paget's disease slightly increases the risk of developing Osteosarcoma (bone cancer) in that specific area.

How Is It Diagnosed?

A very high level of the 'Alkaline Phosphatase (ALP)' enzyme in the blood indicates an increased rate of bone formation. X-rays reveal a bizarrely thickened bone with a 'cotton wool' appearance. A bone scintigraphy (bone scan) maps the affected areas.

How Is It Treated?

To alleviate bone pain and slow down the rapid/erroneous bone destruction in the area, intravenous or oral Bisphosphonate medications (similar to those used for osteoporosis) are administered. If fractures or deformities are severe, orthopedic surgical corrections are performed.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.


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