Paget’s Disease: Symptoms, Causes, Treatment

In Paget’s disease (synonyms: Paget’s disease of bone; osteodystrophia deformans; osteodystrophia deformans of the cranial bone; osteodystrophia fibrosa localisata; osteitis deformans; osteitis deformans of the skull; Paget’s disease; Paget’s disease of bone; Paget’s syndrome; spinal curvature due to osteitis deformans; ICD-10 M88: Osteodystrophia deformans [Paget’s disease]) is a disease of the skeletal system with bone remodeling.

Paget’s disease is the second most common osteopathy (bone disease) after osteoporosis (bone loss).

The disease mainly affects the following localizations:

  • Pelvis
  • Femur (thigh bone)
  • Skull
  • Tibia (shin bone)
  • Vertebral body of the lumbar spine

Sex ratio: men are more often affected than women.

Frequency peak: with age (beyond the age of 40), the risk of disease increases. The maximum incidence of the disease is at 60 years.

The prevalence (disease incidence) is 3-4% in Western Europe, which is relatively high compared to America or Asia.

Course and prognosis: Paget’s disease is associated with physical limitations. The prognosis depends on the extent of the disease. Sometimes only a limited area of bone is affected. In such cases, the disease usually causes no symptoms. In other cases, rapid bone remodeling occurs. In about 1-5%, a so-called osteosarcoma (malignant (malignant) bone tumor) develops.