Can Paget's disease affect the jaw?

Finally Schmorl (1926) established definite diagnostic criteria for the recognition of the disease, both grossly and microscopically. Paget did not believe the jaws were ever affected, but numerous cases have been reported in the last twenty years in which the maxilla and less commonly the mandible have been involved.
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What parts of the body does Paget's disease affect?

The pelvis, skull, spine and legs are most commonly affected. The risk of Paget's disease of bone increases with age and if family members have the disorder. However, for reasons unknown to doctors, the disease has become less common over the past several years and is less severe when it does develop.
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Does Paget's disease affect teeth?

Paget's disease is an uncommon disorder that leads to abnormal bone development. Your jawbones will be affected, and this can cause mild or severe dental health issues such as tooth loss, jaw fractures, and bite alignment. Furthermore, there are times when jawbone deformities might occur.
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Can you get Pagets disease on the face?

Although primarily affecting the anogenital area, the tumor also rarely appears in nonapocrine bearing skin and is referred as ectopic extramammary Paget's disease. Objective: To our knowledge, we present only the second case of ectopic extramammary Paget's disease appearing on the face.
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What are the four most common areas affected by Paget's disease?

The new bone may occur in one or more regions of the body and is structurally abnormal, dense and fragile. This abnormal development may cause bone pain, arthritis, deformities and fractures. The bones most frequently affected are in the spine, skull, pelvis and lower legs.
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Paget’s Disease of Bone (Osteitis Deformans) | Causes, Pathogenesis, Symptoms, Diagnosis



How do you tell if you have Paget's disease?

Symptoms
  1. Flaky or scaly skin on your nipple.
  2. Crusty, oozing or hardened skin resembling eczema on the nipple, areola or both.
  3. Itching.
  4. Redness.
  5. A tingling or burning sensation.
  6. Straw-colored or bloody nipple discharge.
  7. A flattened or turned-in (inverted) nipple.
  8. A lump in the breast.
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What are the three phases of Paget's disease?

The key histopathological feature of Paget disease involveS the bone architecture and includes the three phases of the disease: mixed, osteolytic, and osteosclerotic. These phases may occur at the same time or separately.
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What of the following is the most common appearance of Paget's disease?

Paget's disease can affect any bone in the skeleton. It appears most often in the spine, pelvis, long bones of the limbs, and skull. It can be present in just one bone or in several bones.
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What does Paget's disease of the bone look like?

A doctor can usually diagnose Paget's disease by looking at an X-ray. An affected bone appears larger and more dense than usual. It can have a deformed shape. In the very early stages of Paget's disease, when there is just overactive absorption going on, it can look like there is a hole in the bone.
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What does early Pagets disease look like?

Symptoms of Paget's disease of the nipple

Paget's disease of the nipple always starts in the nipple and may extend to the areola. It appears as a red, scaly rash on the skin of the nipple and areola. The affected skin is often sore and inflamed, and it can be itchy or cause a burning sensation.
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What is osteonecrosis of the jaw?

Osteonecrosis of the jaw (ONJ) is a rare condition, the cause of which is not entirely known. It involves the loss or breakdown of a small segment of the jaw bone. It can be a serious condition and may cause difficult to treat pain.
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What are the long term effects of Paget's disease?

If Paget's disease of bone affects the skull, there's a significant risk that it could lead to permanent hearing loss and possibly total deafness. This can occur as a result of damage to the bones or nerves that connect the ears to the brain.
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Is Paget's disease an autoimmune disorder?

Paget's disease of bone is a chronic autoimmune inflammatory disease that leads to an increase in bone reabsorption. While depression is extensively described in Paget's disease, affecting up to 50% of patients, the prevalence of manic episodes is unknown.
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Is Paget's disease life threatening?

Over time, enlarged or misshapen bones can stress nearby joints leading to osteoarthritis in those joints. In very rare cases, Paget's can turn into a life-threatening cancerous bone disease. Severe Paget's disease may cause damage to the heart.
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What bones are often affected by Paget's disease?

Paget's disease of bone can affect 1 bone or several bones. Commonly affected areas include the pelvis, spine and skull.
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Can Paget's disease symptoms come and go?

In most cases, Paget's disease affects one breast, and the symptoms may come and go. This means symptoms may cycle through, appearing to improve and then worsen again. The symptoms may look similar to eczema or other such skin conditions.
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How quickly does Paget's disease progress?

Mammary Paget's disease is associated with carcinoma of the underlying lactipherous ducts. The skin lesions progress slowly over months as scaly, fissured, or oozing erythema of the nipple and areola. Advanced lesions may appear as well-demarcated, eczema-like plaques with a pink or red hue.
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How do you rule out Paget's disease?

A simple blood test can be carried out to check the level of a substance called alkaline phosphatase (ALP) in your blood. People with Paget's disease of bone often have raised levels of ALP, although some people with the condition have a normal ALP level and a high level can also be caused by some other conditions.
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Can you get osteoporosis in your face?

Osteoporosis affects all bones, including those of the facial skeleton. To date the facial bones have not drawn much attention due to the minimal probability of morbid fractures. Hearing and dentition loss due to osteoporosis has been reported.
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What is the life expectancy of someone with Paget's disease of the bone?

In that study, the British General Practice Research Database identified 2465 patients diagnosed with Paget's disease of bone from 1988 to 1999; retrospective review indicated that 5-yr survival was 67% in patients with Paget's disease compared with 72% in control patients.
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Does Paget's disease cause dizziness?

Neurologic manifestations of Paget's disease before the radiographic appearance of the bone changes is an uncommon presentation of the disorder[3]. Early neurological symptoms include headache[4], dizziness, deafness, tinnitus and pain due to radicular compression[3].
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Is Paget's disease of the bone painful?

Symptoms of Paget's disease of bone include bone pain, joint pain and problems caused by a nerve being squashed or damaged. But in many cases, there are no obvious symptoms and the condition is only found during tests carried out for another reason. 1 bone or several bones may be affected.
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Which of the following diagnostic tests confirms Paget's disease?

Bone scan. This is the best test for diagnosing Paget's disease. You may have a bone scan of your whole body to find out which bones are affected. Blood and urine tests.
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Is Paget's disease curable?

There's currently no cure for Paget's disease of bone, but treatment can help relieve the symptoms. If you do not have any symptoms, your doctor may suggest keeping an eye on your condition and delaying treatment until any problems occur.
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What is the first line treatment for Paget disease?

Bisphosphonates are first-line therapy for Paget's disease, and the advent of the new bisphosphonates permits a dramatic improvement in treatment. The optimal treatment regimen should obtain normalisation or quasi-normalisation of markers of bone remodelling.
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