M88.08/M88.80-99
DESCRIPTION
Bone disease characterised by localised uncontrolled formation of highly active osteoclasts leading to an increase in bone resorption followed by chaotic increase in bone formation.
GENERAL MEASURES
Most cases are mild and asymptomatic and no treatment is required. The diagnosis is supported by isolated high alkaline phosphatase and typical CXR radiological changes.
Avoid high calcium diet when immobile as hypercalcaemia may occur with immobilisation.
Differentiate bone pain of Paget’s, especially at night, from arthritic pain in joints near deformed bone, e.g. hip and knee joints, as well as pain resulting from fracture or complicating osteosarcoma.
MEDICINE TREATMENT
For arthritic pain:
- NSAID, e.g.:
- Ibuprofen, oral, 400 mg 8 hourly with meals.
REFERRAL
All patients.