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Enlivening the radiographic features of Paget disease
  1. Vaishnavi Muthukumaran,
  2. Subadra Kaliyaperumal and
  3. Aravind Warrier
  1. Oral Medicine and Radiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
  1. Correspondence to Dr Aravind Warrier; dentalwarrier{at}


Paget disease often presents as a rare asymptomatic lesion of the bone until it progresses into the advanced stages. A senile man was diagnosed with Paget disease of bone on routine dental radiographic analysis. His history of fractures, periodical ill-fitting dentures and frequent pain in the long bones were contributing to the diagnosis. The patient was referred to a general physician where whole body radiographs were taken, which showed several of the classic features of Paget disease. Biochemical analysis was also done in which serum alkaline phosphatase was elevated with all other values within normal limits, confirming the diagnosis. The patient was treated with single-infusion bisphosphonate followed by other required dental procedures. Early diagnosis and prompt management gave a good prognosis, preventing the potential complications.

  • Radiology
  • Mouth
  • Dentistry and oral medicine

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  • Contributors VM is involved in patient care, follow-up, documentation of treatment details and manuscript writing. AW contributed to patient follow-up, manuscript formatting and manuscript revision. SK has contributed to patient management, literature search, manuscript detailing and revision.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.