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Pagets disease

ARUN VARGHESE JACOB

Abstract


Paget's disease of bone is a common metabolic bone disease common in Europe but rare in Asia. We report Paget's disease in an 80 years old male who presented with an implant failure following an IM nailing of the left femur. Plain X-ray raised suspicion of Paget's disease of bone. Even

though the technetium bone scan showed involvement of multiple bones the alkaline phosphatase was normal. Bone biopsy done during the exchange nailing confirmed the            diagnosis. The authors emphasizes need to identify the         disease early in order to avoid complications and need to start

bisphosphonates before performing a surgery even in the setting of normal alkaline phosphatase values

 


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References


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