$Unique_ID{BRK00424} $Pretitle{} $Title{What Causes Paget's Disease?} $Subject{Paget's treatment Musculoskeletal Connective Tissue osteitis deformans hyperactive bone softer bones pelvis thigh skull pain stiffness headaches loss hearing increasing skull size weariness energy salicylates nonsteroidal anti-inflammatory medication medications Etidronate disodium Synthetic salmon calcitonin headache} $Volume{M-17} $Log{ Symptoms of Paget's Disease*0007701.scf Diagnosing and Managing Paget's Disease*0007801.scf} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. What Causes Paget's Disease? ------------------------------------------------------------------------------ QUESTION: I am a long time sufferer from Paget's Disease, and find it difficult to believe that all that can be offered as treatment are some simple pain pills. Can you tell me a bit about this disease, what causes it and what medications can possibly help me? ------------------------------------------------------------------------------ ANSWER: Your desire to know more about your condition makes you the kind of reader I enjoy responding to, in the hopes that this information can be of help to you. Paget's disease of the bone (also called osteitis deformans) is a chronic disease occurring in adults where hyperactive bone is replaced by a softer bony like structure in various parts of the skeleton, such as the pelvis, thigh bone and skull. Bone is in a constant state of remodeling, a process of breakdown and build up. However in Paget's, the new bone is faulty and can not perform all the duties of normal bone. The cause is unknown, but about 3% of adults over the age of 40 suffer from the condition, with men more commonly affected in about a 3 to 2 ratio over women. Many times there are no symptoms, but when they do occur they include pain, stiffness, headaches, some loss of hearing, increasing skull size and a general feeling of weariness and loss of energy. The diagnosis is often made by chance on an x-ray, taken for other reasons, which shows the typical pattern of bone growth. Generally pain may be controlled by salicylates and nonsteroidal anti-inflammatory medications such as ibuprofen. Two other medications are used to successfully treat and control the condition. Etidronate disodium may be taken in a dose of 5 to 10 mg per kilogram of body weight, in a single dose each day for 6 months. Synthetic salmon calcitonin may also be effective. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.