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February 10, 2012
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Paget's Disease

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Paget's Disease Overview

Paget's disease of the bone is the second most common bone disorder in elderly patients. (Osteoporosis is the most common.) Paget's disease is a disorder that affects the normal remodeling process of bone. In normal bone, the bone constantly remodels. In the remodeling process, old bone is removed and new bone is formed. In patients with Paget's disease, this process is altered. These patients have an excessive amount of bone resorption (removal) followed by an even more excessive amount of new bone formation. Unfortunately, this increased rate of bone remodeling leads to new bone that is not as strong as normal bone. This abnormal bone is weaker, has more blood vessels, and is larger in size than normal bone. While most cases do not cause symptoms, some patients may develop pain, fractures, or even malignant transformation into sarcoma (bone tumor), although this is rare.

Men are affected by Paget's disease slightly more often than women (3:2 male-to-female ratio). Paget's disease is more common in patients of Northern European ancestry, most commonly in those from Great Britain. It is rare in Asia and Africa. It is more common with increasing age, typically diagnosed in people in their 50s. Up to three million people in the United States are estimated to have Paget's disease.

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Paget's Disease - Symptoms

The eMedicineHealth physician editors ask:

The symptoms of Paget's disease vary from patient to patient. What were the symptoms at the onset of your disease?

Paget's Disease - Symptoms

The eMedicineHealth physician editors ask:

What symptoms did you experience with Paget's Disease?

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Paget Disease

What Is Osteoporosis?

Osteoporosis is a disease characterized by low bone mass and loss of bone tissue that leads to weak and fragile bones.

What Causes Osteoporosis?

Osteoporosis occurs when the body fails to form enough new bone, when too much old bone is reabsorbed by the body, or both. Women are at a greater risk than men, especially women who are elderly, thin, or small. Other risk factors include the following:

  • Inadequate calcium and vitamin D ingestion

  • Lack of weight-bearing exercises

  • Excessive corticosteroid (for example, prednisone [Deltasone, Meticorten]) use

  • Thyroid problems

  • Bone cancer

  • Postmenopause

  • Whit...

Read the Osteoporosis Medications article »


Read What Your Physician is Reading on Medscape

Paget Disease »

Paget's disease (Paget disease), characterized by excessive and abnormal remodeling of bone, is a common disorder in middle-aged and elderly patients.

Read More on Medscape Reference »

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