Adult Paget's disease of bone.

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Abstract

[Indexed for MEDLINE] 12. Curr Allergy Asthma Rep. 2021 Mar 25;21(4):23. doi: 10.1007/s11882-021-01001-2. Paget's Disease of Bone: Osteoimmunology and Osteoclast Pathology. Rabjohns EM(1), Hurst K(2), Ghosh A(2), Cuellar MC(3), Rampersad RR(1), Tarrant TK(4). Author information: (1)Division of Rheumatology and Immunology, Department of Medicine, Duke University, DUMC #3874, 200 Trent Dr, Durham, NC, 27710, USA. (2)Duke University, Durham, NC, USA. (3)Division of Rheumatology, Department of Medicine, Hospital del Salvador, Santiago, Chile. (4)Division of Rheumatology and Immunology, Department of Medicine, Duke University, DUMC #3874, 200 Trent Dr, Durham, NC, 27710, USA. teresa.tarrant@duke.edu. PURPOSE OF REVIEW: The purpose of this review is to recognize clinical features of Paget's disease of bone and to describe how the osteoclast, a myeloid-derived cell responsible for bone resorption, contributes to the disease. RECENT FINDINGS: Recent studies have identified several variants in SQSTM1, OPTN, and other genes that may predispose individuals to Paget's disease of bone; studies of these genes and their protein products have elucidated new roles for these proteins in bone physiology. Understanding the pathologic mechanisms in the Pagetic osteoclast may lead to the identification of future treatment targets for other inflammatory and autoimmune diseases characterized by abnormal bone erosion and/or osteoclast activation. DOI: 10.1007/s11882-021-01001-2