Involvement of the hands in Paget's disease (osteitis deformans) is infrequent. The radiographic findings have been detailed elsewhere, but the findings using Tc-99m MDP bone scanning have not been well described. A Tc-99m MDP bone scan was performed on a 77-year-old woman with known Paget's disease of the skull and vertebrae. Images obtained of the hands and forearms demonstrated diffuse, homogeneous, increased radionuclide uptake in the entire left first metacarpal. Roentgenograms were obtained for correlation. No other hand bones were affected.
From the Nassau County Medical Center, East Meadow, New York
Received for publication June 13, 1995; accepted July 17, 1995.
Reprint requests: Philip A. Bardfeld, M.D., Division of Nuclear Medicine, Department of Diagnostic Radiology, Nassau County Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554.
Investigation performed at the Nassau County Medical Center, East Meadow, New York.