Paget’s Disease of the Bone in a Patient with Recurrent Falls. A Case Report.

Abstract

Paget's disease of the bone (PDB) is a rare metabolic bone disease that is estimated to affect 1-2% of the general population in the United States, resulting in deformity and high disability. The disease is commonly misdiagnosed due to a diverse range of signs and symptoms. This case report summarizes a case of a 75-year-old man with multiple comorbidities and history of falls, was found to have multiple old and new fractures of the spine on imaging. Incidental radiologic findings were the first clue to the diagnosis. The patient was given zoledronic acid, which improved symptoms. Difficulty in ambulation, falls and subsequent fractures can easily be attributed to frailty and comorbid conditions. This case highlights the importance of keeping PDB on the list of differentials in an elderly patient presenting with recurrent falls and fractures.