Presentation
Pain, inflammation and deformity of hands
Patient Data
Age: 90 years
Gender: Female
From the case:
Paget disease - right thumb
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Bilateral small joint degeneration of the hands.
Right thumb metacarpal - bony expansion and coarsening of the trabeculae consistent with Paget disease. Almost certainly unrelated to the patient's presenting complaint.
Case Discussion
The changes in the right 1st metacarpal bone are classic of Paget disease and very unlikely to be the cause of the pain.
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