Bone Disease

Paget's Disease of Bone

Paget's disease of bone is a chronic disease that causes bones to grow larger and weaker than normal. In Paget's disease, the process of old bone being replaced by new bone is disrupted. The new bone that forms is softer and weaker. Paget's disease most commonly occurs in the pelvis, skull, spine, and legs.

7

Symptoms

3

Causes

4

Treatments

1

Prevention

Condition Overview

Understand key symptoms, causes, diagnosis options, and treatment pathways for Paget's Disease of Bone. This overview is intended for patient awareness and should be followed by specialist consultation.

Bone DiseasePrevalence Available

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Symptoms

  • Bone pain
  • Enlarged head size
  • Bowing of legs
  • Hearing loss (if skull affected)
  • Hip pain
  • Damage to cartilage of joints adjacent to affected bone
  • Nerve problems if spine affected

Causes

  • Unknown exact cause
  • Both genetic and environmental factors (possibly viral)
  • SQSTM1 gene mutations in familial cases

Diagnosis

  • Blood test (alkaline phosphatase level)
  • X-rays
  • Bone scan
  • CT scan
  • Urine tests

Treatment

  • Bisphosphonates (primary treatment)
  • Calcitonin
  • Adequate calcium and vitamin D
  • Surgery for complications

Risk Factors

  • Age (over 40)
  • Male sex
  • Northern European ancestry
  • Family history

Prevention

  • No known prevention

Prevalence

Affects about 1% of people over age 40 in the United States, less common in other parts of the world.