In many cases there may be no symptoms and individuals are unaware that they have Paget’s disease. It may be discovered by chance on x-ray or if a blood test is performed for another reason.
Some patients will present with symptoms, of which pain is the most common. Deformity can sometimes be apparent. For instance, long standing disease over many years, may cause the weight bearing bones of the leg to develop a bowing deformity (see complications).

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