The radiological image of Paget's didease.
Background. Paget's disease is a metabolic bone disease characterized by excessive bone resorption and activated osteoclasts. The aim of the present study was to examine the localization and extent of lesions, radiological traits, and complications.<br /> Material and methods. During the period 1981-2001. 24 patients (14 women, 10 men) with Paget's disease were examined, using x-rays of the skull, spine, pelvis, and the long bones of the limbs, and computer tomography (1 patient) of the skull and pelvis.<br /> Results. In 15 patients (62,5%), the disease was monoostotic, while in 9 cases (37,5%) it was polyostic. The most common places for changes were in the vault of the skull (9 cases), the tibia (7 cases), the pelvis (5 cases), the femur (3 cases), and the lumbar spine (3 cases). Osteosclerotic changes dominates in the radiological picture. Three of the patients were in the osteolitic phase of Paget's disease.<br /> Conclusions. The radiological picture of fully developed Paget's disease is very characteristic. It is possible to make a diagnosis on the basis of conventional radiography.
Swiatkowski
Jan
J
Katedra i Klinika Ortopedii, Akademia Medyczna, Wroclaw.
Michałowska
Ilona
I
Kotapski
Jacek
J
Błasińska-Przerwa
Katarzyna
K
Półtorak
Dorota
D