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MedicinePaget's Disease of Bone

Q144. 60 year old man presents with generalized body ache and increasing hat size. O/E the bones are warm to touch. Biochemical Investigations Show Normal Serum Calcium, Phosphate, And Parathyroid Hormone (PTH) Levels, But Markedly Elevated Alkaline Phosphatase (ALP). X ray shows lytic areas in long bones. What is the diagnosis?

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NEET-PG2025Repeats: 2020, 2023
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