Paget’s disease usually occurs past middle age with increasing frequency with age. It is often detected as an incidental finding by an X-ray or an elevated alkaline phosphatase level or when being investigated for another disorder. Most patients are asymptomatic. Symptomatic patients could present with bone pain, deformities and fractures, secondary osteoarthritis and deafness. Pagetic lesions are extremely vascular with increased blood flow, increased blood volume, high cardiac output together with cardiomegaly, left ventricular hypertrophy and cardiac failure.
KeywordsPaget’s disease Bone pain Deformities and fractures Secondary osteoarthritis Deafness Urinary hydroxyproline
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