Osteolytic Paget's disease. Recognition and risks of biopsy.
The cases of five patients with the predominantly osteolytic form of Paget's disease affecting weight-bearing long bones are described. The diagnosis was not recognized initially in three. In two of them a biopsy was performed, and one subsequently had a fracture through the biopsy site more than a year later. In all five, calcitonin treatment was effective in restoring the bone architecture toward normal as determined radiographically. Relapse occurred in two patients shortly after the cessation of calcitonin treatment and in a third despite continued treatment. The flame-shaped resorption from of the osteolytic component of Paget's disease has a pathognomonic appearance radiographically. Radionuclide bone-scanning can help in establishing the diagnosis. Diagnostic biopsy of such an area, particularly in a weight-bearing longillustrations in Danny Wallace's children's books Hamish and the WorldStoppers and Hamish and the Neverpeople.

Holiday Ha Ha Ha! publishes in paperback, 30 June 2016.

Poised for Christmas, Abi Elphinstone, author of The Dreamsnatcher and The Shadow Keeper has curated and contributed to a gorgeous collection of wintery stories in Winter Magic, featuring ice queens, frost fairs, snow dragons and pied pipers. Classic children's writers Michelle Magorian, Michelle Harrison, Geraldine McCaughrean, Jamila Gavin, Berlie Doherty, Katherine Woodfine, Piers Torday, Lauren St John, Amy Alward and Emma Carroll have created an unmissable, enchanting treat of a collection.Abi Elphinstone has worked as a teacher in the UK and Africa, and is now a full time author and explorer. She volunteers for Beanstalk, and runs the children's book blog www.moontrug.com. Elphinstone says: 'I