System | Clinical findings |
---|---|
Musculoskeletal These are all common features of Paget's disease of bone | Acetabular protrusion Bone deformity Bone pain Fractures Spinal stenosis Osteoarthritis of neighbouring joints |
Neurological Deafness, spinal stenosis/vascular steal are all common | Basilar invagination Cerebellar dysfunction Obstructive hydrocephalus Cranial nerve palsies Spinal stenosis/cauda equina syndrome Deafness Tinnitus Vascular steal syndrome Para- or quadriplegia |
Cardiovascular All uncommon | Increased cardiac output Congestive cardiac failure Aortic stenosis Endocardial calcification Atherosclerosis |
Metabolic All are rare | Hypercalcaemia Hyperuricaemia Immobilisation hypercalciuria Nephrolithiasis |
Neoplasia Sarcomas are very rare but are important not to miss due to their serious nature and are potentially lethal | Sarcoma (osteosarcoma, chondrosarcoma or fibrosarcoma) Giant cell tumour |