Year: 2024 | Month: December | Volume: 14 | Issue: 12 | Pages: 81-86
DOI: https://doi.org/10.52403/ijhsr.20241209
First Case of Paget's Disease in the Kingdom of Bahrain: A Case Report
Fatima Haji1, Fatema Khamis1, Mohamed Khamis1
1Department of Rheumatology, Salmaniya Medical complex, Manama, Bahrain.
Corresponding Author: Fatima Haji, Fatema Khamis, Mohammed Khamis
ABSTRACT
Background: Paget’s disease of bone is a disorder of bone remodeling, it can affect a single bone or multiple bones at the same time what is known as monostotic and polyostotic involvement respectively. The disease is of undetermined etiology and its prevalence increases with age with a slight predominance in males. It is most common among European countries and rare in the Middle East. No other cases were reported from Bahrain in local and international journals before.
Clinical presentation: we present a case of classic Paget’s disease but unique to the region. This is a 48-year-old Yemeni male resigning in the Kingdom of Bahrain and presenting with localized hip pain and chronic back pain. He was promptly diagnosed via clinical picture, biochemical markers, and radiographic images. He was then given injections of zoledronic acid which showed dramatic improvement with excellent follow-up. Out of interest, during his recent follow up he complained of hematuria and found to have Nutcracker Syndrome.
Conclusion: Paget’s disease indeed exists in Bahrain and should be considered in similar scenarios.
Key words: Paget's disease, hip, zoledronic acid