Paget's Disease of Bone

Endocrinology

Overview

Definition

Disorder of accelerated bone remodeling.

Epidemiology

Varies globally. Often age and lifestyle dependent.

Etiology & Risk Factors

  • Genetics, viral etiology suspected.

Clinical Symptoms

  • Bone pain
  • bowing of long bones
  • increasing hat size
  • hearing loss.

Clinical Approach

Diagnosis

  • Elevated Alkaline Phosphatase (isolated)
  • X-ray (thickened bone).

Management

  • Bisphosphonates (Zoledronic acid).

Complications

  • Osteosarcoma
  • fractures
  • deafness.