Abstract
A 78-year-old female patient, with a past medical history notable only for stable hypertension, presented with chronic left knee pain. There were no other local or systemic symptoms. The pain was not relieved by analgesics or intra-articular cortisone injections. Laboratory tests revealed a normal complete blood count (CBC), normal electrolytes, serum alkaline phosphatase, calcium, phosphate and parathyroid hormone values. Plain knee radiographs performed at a clinic were interpreted as ‘‘findings consistent with Paget’s disease’’. Since the patient’s pain persisted, she was referred to our institution 6 months later for further evaluation. The radiographs were repeated (Figures 1 and 2). Do you agree with the initial diagnosis of Paget’s disease?
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