Paget's Disease of bone is a chronic condition characterized by abnormal bone remodeling, leading to enlarged and weakened bones. It typically affects the pelvis, spine, skull, and long bones. The exact cause is uncertain, but genetic factors and environmental triggers may play a role. Common symptoms include bone pain, deformities, and an increased risk of fractures.
Diagnosis involves a combination of clinical assessment, imaging studies (such as X-rays and bone scans), and blood tests to detect elevated alkaline phosphatase levels. While many individuals with Paget's disease remain asymptomatic, some may experience pain, complications like osteoarthritis, or neurological issues. Treatment often involves bisphosphonate medications to regulate bone turnover and manage symptoms. In severe cases or when complications arise, surgical interventions such as joint replacements or corrective procedures may be necessary.
Regular monitoring is essential, as Paget's disease can have long-term implications. A multidisciplinary approach involving orthopaedic specialists, endocrinologists, and other healthcare professionals is crucial for managing this condition effectively and improving the quality of life for individuals affected by Paget's disease of bone.
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Stephen S Tower, University of Alaska Anchorage, United States
Title : The etiological diagnosis of torticollis
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Title : Sports medicine pearls of the foot and ankle
Matthew B Werd, American Academy of Podiatric Sports Medicine (AAPSM), United States