Metabolic bone disease Flashcards
What is Paget’s disease?
Localised disorder of bone turnover caused by increased bone resorption and formation
What is th bone like in Paget’s disease?
Bigger, less compact and more vascular
More prone to deformity and fracture
What is the aetiology of Paget’s disease?
Genetic
Environmental- possible chronic viral infection in osteoclast
Restricted Anglo-Saxon distrubution
What ar the signs and symptoms of Paget’s disease?
Bone deformity or fracture
Bone pain
Excessive heat over affected bone
Neuro complications eg nerve deafness
What is the treatment of Paget’s disease?
IV bisphosphonate therapy
Surgery in some cases
When is Paget’s disease treated?
In skull or if symptomatic
What are the complications of Paget’s disease?
Osteosarcoma in affected bone
What is rickets?
Insufficient mineralisation n children due to severe vit D or calcium deficiency
What is the presentation of rickets?
stunted growth Failure to thrive Bandy legs LArge abdo Large forehead Wide joints at elbow, wrist and ankles
What is osteomalacia?
Insufficnent mineralisation once epiphyseal plates have fused due to severe vit D or calcium deficiency
What are the signs and symptoms of osteomalacia?
Bone pain
Muscle weaknes
Increased falls risk
What is osteogenesis imperfecta?
Genetic disorder of connective tissue characterised by fractures bone from mild trauma or daily life
What are the types of osteogenesis imperfecta?
Type 1-4
What is type 1 osteogenesis imperfecta?
Mildest form
Presents normally when child starts to walk but can be in adulthood
What is type 2 osteogenesis imperfecta?
Most severe form
Lethal