History
Patients may present with a variety of symptoms including:
- Bone pain
- Bone deformity
- Pathological fracture
- Deafness
- Osteoarthritis
- Incidental finding as the result of imaging or a blood test performed for another reason
Examination
- Most patients have no abnormalities detectable on clinical examination
- Where there is bone deformity, this usually affects the tibia, skull or femur
Investigations
- Routine biochemistry (raised ALP, with otherwise normal LFT, calcium and U&E)
- X-ray pelvis and lumbar spine (abnormal in 70% of patients)
M.A & S.R – 28-9-26
When to refer
Patients suspected to have Paget’s should be referred for evaluation to determine if specific treatment is indicated.
Initial management
If symptoms such as pain are present, treat on a symptomatic basis pending clinic review.
Paget Disease (Arthritis-UK): https://www.arthritis-uk.org/information-and-support/understanding-arthritis/conditions/pagets-disease-of-bone/
Paget UK – https://paget.org.uk/
