Paget disease of bone in Japanese patients: a report of three cases

被引:4
作者
Nagano, Satoshi [1 ]
Yokouchi, Masahiro [1 ]
Nagayoshi, Ryusaku [1 ]
Sasaki, Hiromi [1 ]
Shimada, Hirofumi [1 ]
Setoguchi, Takao [1 ]
Ijiri, Kosei [1 ]
Komiya, Setsuro [1 ]
机构
[1] Kagoshima Univ, Grad Sch Med & Dent Sci, Dept Orthopaed Surg, Kagoshima 890, Japan
来源
JOURNAL OF ORTHOPAEDIC SURGERY | 2013年 / 21卷 / 03期
关键词
alkaline phosphatase; diphosphonates; osteitis deformans; MANAGEMENT; PATHOGENESIS;
D O I
10.1177/230949901302100323
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Paget disease of bone (PDB) is a bone metabolic disorder causing pain, fractures, and deformity. Its incidence is estimated to be 1 to 2% in Caucasians older than 55 years, but in Asian populations the incidence is rare. We report on 2 female and one male Japanese patients aged 46 to 73 years with PDB. One patient had monostotic disease with pain around the shoulder and the other 2 were asymptomatic. All patients had elevated alkaline phosphatase (ALP) levels (range, 629-957 U/L). Two patients responded to oral bisphosphonate treatment and achieved normalised ALP levels and pain relief. One patient with polyostotic disease did not show any change in ALP levels. The diagnosis of the disease and the indications for bisphosphonate treatment are discussed.
引用
收藏
页码:375 / 379
页数:5
相关论文
共 16 条
[1]   FDG PET of primary benign and malignant bone tumors: Standardized uptake value in 52 lesions [J].
Aoki, J ;
Watanabe, H ;
Shinozaki, T ;
Takagishi, K ;
Ishijima, H ;
Oya, N ;
Sato, N ;
Inoue, T ;
Endo, K .
RADIOLOGY, 2001, 219 (03) :774-777
[2]   Mechanisms of disease: genetics of Paget's disease of bone and related disorders [J].
Daroszewska, A ;
Ralston, SH .
NATURE CLINICAL PRACTICE RHEUMATOLOGY, 2006, 2 (05) :270-277
[3]   Prevalence and clinical features of Paget's disease of bone in Japan [J].
Hashimoto, J ;
Ohno, I ;
Nakatsuka, K ;
Yoshimura, N ;
Takata, S ;
Zamma, M ;
Yabe, H ;
Abe, S ;
Terada, M ;
Yoh, K ;
Fukunaga, M ;
Cooper, C ;
Morii, H ;
Yoshikawa, H .
JOURNAL OF BONE AND MINERAL METABOLISM, 2006, 24 (03) :186-190
[4]  
Joshi Shashank R, 2006, J Assoc Physicians India, V54, P535
[5]   BONE HISTOMORPHOMETRY IN PAGETS-DISEASE - QUANTITATIVE AND DYNAMIC ANALYSIS OF PAGETIC AND NON-PAGETIC BONE TISSUE [J].
MEUNIER, PJ ;
COINDRE, JM ;
EDOUARD, CM ;
ARLOT, ME .
ARTHRITIS AND RHEUMATISM, 1980, 23 (10) :1095-1103
[6]   The mechanism of hearing loss in Paget's disease of bone [J].
Monsell, EM .
LARYNGOSCOPE, 2004, 114 (04) :598-606
[7]   Biochemical response to bisphosphonate therapy in pagetic patients with skull involvement [J].
Peris, P. ;
Alvarez, L. ;
Vidal, S. ;
Kasper, D. ;
Leeming, D. J. ;
Monegal, A. ;
Angeles Martinez, M. ;
Pons, F. ;
Guanabens, N. .
CALCIFIED TISSUE INTERNATIONAL, 2006, 79 (01) :22-26
[8]   Pathogenesis of Paget's disease of bone [J].
Ralston, Stuart H. .
BONE, 2008, 43 (05) :819-825
[9]   Pathogenesis and management of Paget's disease of bone [J].
Ralston, Stuart H. ;
Langston, Anne L. ;
Reid, Ian R. .
LANCET, 2008, 372 (9633) :155-163
[10]   NEUROLOGIC COMPLICATIONS OF PAGET DISEASE OF BONE [J].
Rubin, Daniel J. ;
Levin, Robert M. .
ENDOCRINE PRACTICE, 2009, 15 (02) :158-166