Presentation
Pain in the right hip.
Patient Data
Age: 90 years
Gender: Male
From the case:
Paget disease
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unilateral cortical thickening and sclerosis of the right hip bone, sacrum and the left-upper humeral epiphysis
enlargement of the pubic rami and ischium
Case Discussion
Features of a polyostotic Paget disease involving the right hip and the left proximal humeral epiphysis. The differential diagnosis was bone metastasis from prostatic cancer, but the PSA was low and there was an elevation of the alkaline phosphatase, serum, and urine hydroxyproline with normal calcium and phosphates.
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