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International Journal of Clinical & Medical Images

2376-0249

Clinical-Medical Image - International Journal of Clinical & Medical Images (2018) Volume 5, Issue 11

Paget Disease of the Bone Presenting as Leontiasis Ossea

Paget Disease of the Bone Presenting as Leontiasis Ossea

Author(s): Carvalho Ruben*, Pereira Inês and Sapeira Isabel

Clinical-Medical Image:

Paget disease of the bone is a chronic disorder of unknown etiology that typically results in enlarged, deformed bones due to abnormal and excessive bone remodeling. The disease which can be monostotic or polyostotic and is characterized initially by an increase in bone resorption, followed by a disorganized and excessive formation of bone, leading to pain, fractures, and deformities. The classically described radiological appearances are of expanded bone with a coarsened trabecular pattern, but it can present differently according to the disease stage: in the active or osteolytic phase, aggressive bone resorption and lytic appearance are the hallmarks while on the quiescent and inactive stage there is a predominance of cortical thickening and sclerosis, and finally, it can have a mixed pattern presentation. The pelvis, spine, skull, and proximal long bones are most frequently affected. We depict an exuberant case of this disease with craniofacial involvement resulting in the historical eponym of Leontiasis Ossea (lion mask face) (Figures 1 and 2).

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Citations : 226

International Journal of Clinical & Medical Images received 226 citations as per Google Scholar report