What’s your Diagnosis?
Submitted By: Lawrence Jankowski, CBDT Affiliation: Illinois Bone and Joint Institute, LLC.Morton Grove, Illinois.
A 66-year-old white female with mental retardation with language difficulties presents for a bone density test. History was limited and provided by caregiver with notes that suggest a history of Paget’s disease and a recently elevated alkaline phosphatase level. She also has a history of a prior wrist fracture from a simple fall requiring open reduction and internal fixation.
She was referred by a orthopedic surgeon who was evaluating complaints of increasing pain in her hips bilaterally. Hip radiographs suggested severe degenerative arthritis bilaterally as well as evidence of diffuse Paget’s disease. She has never been treated for Paget’s disease in the past.Read Full Case