Paget's Disease of Bone: An Entity Still Exists in India

Indian J Endocrinol Metab. 2018 May-Jun;22(3):368-372. doi: 10.4103/ijem.IJEM_19_18.

Abstract

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.

Keywords: Bisphosphonates; India; Paget's disease of bone; polyostotic disease; zoledronic acid.