Is 3, 4, and 5 the only Pythagorean triple where the numbers are adjacent, and if so, why?
Adjacent Pythagorean triples
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Yes, because the equation $n^2+(n+1)^2=(n+2)^2$ is polynomial, thus it can just have that many solutions at most.
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Yes. Here's one way to see why: let $(x-1,x,x+1)$ be a Pythagorean triple, then $$(x-1)^2 + x^2 = (x+1)^2$$ This is a quadratic equation, so it can have at most $2$ solutions. $x=0$ and $x=4$ are two solutions, so there are no others. $x=0$ gives the triple $(-1,0,1)$ which is invalid, so the only allowable triple is $x=4$: $(3,4,5)$
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As otherwise mentioned solving: $$a^2+(a+1)^2=(a+2)^2\to2a^2+2a+1=a^2+4a+4\to a^2-2a-3=0$$ $$\to(a-3)(a+1)=0\to a=3,a=-1$$ Hence we have $(3,4,5)$, and the invalid $(-1,0,1)$.
You can also show this with the two-variable pythagorean theorem. $$(p^2-q^2)^2+(2pq)^2=(p^2+q^2)^2$$ What your argument asks is if there are $p,q$ satisfies either of these conditions. $$(p^2+q^2)-(2pq)=1 \space \text{AND}\space (p^2+q^2)-(p^2-q^2)=2$$ $$\text{OR}$$ $$(p^2+q^2)-(2pq)=2 \space \text{AND}\space (p^2+q^2)-(p^2-q^2)=1$$ See if you can show when these work.
Hint: Solve $(n-1)^2+n^2=(n+1)^2$.