Enfermedad ósea de Paget: diagnóstico diferencial de lesiones osteolíticas: caso clínico / Paget disease of the bone: differential diagnosis of osteolytic lesions: report of 1 case
Rev. méd. Chile
; 126(10): 1229-33, oct. 1998. ilus
Article
em Es
| LILACS
| ID: lil-242708
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ABSTRACT
We report a 48 years old female with Paget's disease of the bone who consulted for leg pain. After exhaustive examination a magnetic nuclear resonance revealed a 7 mm intradural schwannoma that was resected without improvement. Four years later, with generalized, progressive bone pains, several osteolytic rib lesions were detected. A bone scintigraphy showed extensive areas of hyperfixation of Tc99 DPM. Biochemical tests were normal with exception of very high serum alkaline phosphatases. Looking for some neoplastic disease, a breast nodule was detected by mammography. Biopsy demonstrated benign disease. Finally, a rib lesion biopsy disclosed diagnosis of Paget's disease of the bone. Treatment with calcitonin, etidronate and vitamin D resulted in partial clinical improvement, reduction of abnormal isotope hyperfixation in bone scintigraphy and of serum alkaline phosphatase levels
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Índice:
LILACS
Assunto principal:
Osteíte Deformante
/
Osteólise
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Female
/
Humans
Idioma:
Es
Revista:
Rev. méd. Chile
Assunto da revista:
MEDICINA
Ano de publicação:
1998
Tipo de documento:
Article