Paget’s disease of bone: the first case reported in Iraqi Kurdish

Abstract

Abstract Background Paget’s disease of bone (PDB) is a chronic bone disorder which insidiously evolves parallel with the aging process. The affected bone has a distinct imaging appearance, and the clinical manifestations are variable. This disease is ubiquitous among people of Anglo-Saxonian origin. However, it is rarely reported among Asian descents. Case presentation Here, the first diagnosed case of Paget’s disease of bone in an Iraqi Kurdish patient, a gentleman in his seventh decade of life underwent sectional imaging for evaluation of spine hopefully to find a potential musculoskeletal or neurological culprit behind his back discomfort. Biochemical confirmation tests were demanded based on the state of the art of the typical radiological judgment, perhaps negating pathological tissue affirmation. Marked geographical variation of the disease occurrence made it seldom to encounter such entity in the Middle East, particularly in Iraq. To the author’s knowledge, scarce cases have been described in Iraq, none in the Kurdish population. Conclusion This case report elicits an extremely rare metabolic osseous disease that was radiologically diagnosed at venture when bone window computed tomography (CT) is performed for an unrelated indication.

Keywords

• Paget’s disease of bone
• Computed tomography
• Metabolic disease
• Low back pain