Gammagrafía ósea en la valoración de la enfermedad de Paget monostótica

Abstract

We analyze the utility of the bone scintigraphy (BS) to diagnose monostotic Paget's disease. BS was used in 16 patients suffering monostotic Paget's disease during the years 2003 and 2004. After that 8 patients were examined with a simple X-ray and 1 with CT scan. Sixteen patients suspected of suffering monostotic Paget's disease from a clinical and/or analytical point of view were studied. Eight patients had no symptoms and 3 others had pain and functional impotence. Three patients reported only pain and the rest of the patients had deformities. Our casuistry showed that about 15% of the BS requested to diagnose the Paget's disease were monostotic. The most frequent bone affected was the femur (37.5%). BS was the only image study made in 7 cases, this being the first technique requested for the diagnosis of 4 of them. The BS was a useful technique to confirm the correct diagnosis and to know the extension of the illness, so it can be requested in the routine daily clinical practice.