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Disorganized LAMELLAR Bone in A MOSAIC Pattern Paget's Disease
Disorganized LAMELLAR Bone in A MOSAIC Pattern Paget's Disease
o
Osteoid MATRIX accumulation AROUND TRABECULAE = vitamin D deficiency
(osteomalacia / Rickets)
o
o
Primary spongiosa persistence in the MEDULLARY CAVITY with NO MATURE
TRABECULAE = osteopetrosis:
o
o
Trabecular THINNING with FEWER INTERCONNECTIONS = osteoporosis:
o
Thinning of CORTICAL BONE with PRESERVED TRABECULAE = primary
hyperparathyroidism
o Progression to eventual trabecular involvement
o Eventual formation of brown tumors = hemosiderin deposition due to
hemorrhage:
o Lastly, progresses to osteitis fibrosa cystica (von Recklinghausen disease of
bone) -> cysts + hemorrhage in bone: