Indian Journal of Endocrinology and Metabolism (Jan 2018)

Paget's disease of bone: An entity still exists in India

  • Kripa Elizabeth Cherian,
  • Nitin Kapoor,
  • Sahana Shetty,
  • Felix K Jebasingh,
  • Hesarghatta Shyamasunder Asha,
  • Julie Hephzibah,
  • Anne Jennifer Prabhu,
  • Simon Rajaratnam,
  • Nihal Thomas,
  • Thomas Vizhalil Paul

DOI
https://doi.org/10.4103/ijem.IJEM_19_18
Journal volume & issue
Vol. 22, no. 3
pp. 368 – 372

Abstract

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Background: Paget's disease of bone (PDB) is uncommonly reported from India. We attempted to study the clinical and imaging features and management of participants who presented with PDB. Materials and Methods: In this retrospective study, clinical and imaging profile, biochemistry, and treatment outcomes of participants with PDB (n = 48) were obtained. Results: The mean age was 60 ± 11.3 years and 35% were women. Twenty percent were asymptomatic. Many (87%) had polyostotic involvement. Sixty percent (n = 29) underwent treatment with zoledronic acid and rest with oral bisphosphonates, and all achieved remission. Conclusion: Most of the pagetic participants had polyostotic disease and one-fifth were asymptomatic. All participants had disease remission following treatment.

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