Paget disease

Case contributed by Dr Ian Bickle

Presentation

Acute on chronic left hip pain. OA?

Patient Data

Age: 70 years
Gender: Male
X-ray

Coarse trabeculation of the right iliac blade, ischium and superior pubic ramus.  The right inferior pubic ramus and hip are spared.

Normal left hemipelvis.

Mild bilateral hip osteoarthritis.

Case Discussion

Paget disease commonly affects the pelvis and is an incidental finding in older patients.

It is typically a unilateral process, as in this case, with coarse trabeculation and thickening of the ileopectineal line.

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Case information

rID: 62438
Published: 14th Jan 2020
Last edited: 15th Jan 2020
Tag: crh
Inclusion in quiz mode: Included

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