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Paget's disease of the bone is a disease of the older age group and rarely presents itself before the age of 40 years. It is characterised by skeletal deformity due to defect in bone resorption and remodelling which is most likely thought to be due to a viral infection. The condition maybe asymptomatic for a very long time and may take years to diagnose. Most patients may present with joint pain, arthritis and bony tenderness. The difficulty in diagnosis occurs when the condition is mistaken for osteomalacia but this can be ruled out as in osteomalacia the entire skeleton is involved due to vitamin D deficiency. Difficulty arises when it has to be differentiated from metastatic bony lesions.
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