Downloads: 88 | Views: 99
Case Studies | Medicine | Portugal | Volume 9 Issue 6, June 2020
Pagets Bone Disease - A Different Case of Pain
Joao Oliverio Ribeiro  | Joao Pinto Machado  | Sara Macedo  | Eurico Oliveira 
Abstract: Paget's bone disease is a chronic pathology that affects the osseous turnover, with favourable prognosis if treated early. Most patients are asymptomatic, but pain is a frequent clinical manifestation. The authors present a case of a patient, with a mechanic lumbosciatalgia, with 4 months of evolution, progressive worsening on the previous days, at the time with inflammatory component. He had a lumbar-sacred CT-scan revealing ?grossly trabecular areas alternating with lytic areas on D11, L2, L5 and sacrum, evoking vertebral angiomas but not excluding infiltrative lesion? and blood samples with increased Sedimentation Rate (SR), Alkaline Phosphatase (AP) and ?-2-Microgobulin, and an electrophoretic proteinogram with ?-2-Mycroglobulin peak. He was hospitalized and performed a bone scintigraphy that revealed multiple increased uptake lesions, and analysis that showed an increase in Bone AP and Collagen Telopeptides. Correlating clinical findings, imaging, analysis and excluding other diseases the diagnosis of Paget's Bone Disease was established.
Keywords: Paget Disease of bone, Quality of Life, Pain, Byposphonates
Edition: Volume 9 Issue 6, June 2020,
Pages: 239 - 241
Similar Articles with Keyword 'Pain'
Case Studies, Medicine, Indonesia, Volume 10 Issue 4, April 2021Pages: 246 - 250
Pregnancy with Didelphys Uterus and Omphalocele Infant: A Case Report
Leony Lim  | I Wayan Artana Putra  | I Nyoman Bayu Mahendra  | Endang Sri Widiyanti
Case Studies, Medicine, Indonesia, Volume 10 Issue 7, July 2021Pages: 567 - 571
A Rare Case of Thyrotoxic Periodic Paralysis 17-Year-old-Boy with Graves' Disease
Putu Dianisa Rosari Dewi | I Made Arimbawa