Abstract
A case-controlled study has compared urinary, blood plasma, and serum fluoride (F) levels of people living in endemic areas of the Thar Desert, Sindh, Pakistan, consuming groundwater with F concentrations as high as 4.00–10.00 mg/L with those consuming groundwater with low F levels of 0.30 mg/L. A total of 121 individuals from Samme Jo Tar Village of the Chachro Sub-District, Tharparker, and 121 controls from Gadap Town, Karachi, Pakistan, were selected for this study. Results indicated highly significant differences were present between the mean urinary F (12.90 versus 2.30 mg/L, p<0.001), plasma F (0.61 versus 0.25 mg/L, p<0.001) and serum F levels (0.75 versus 0. 29 mg/L, p<0.001) of cases and controls. There was a strong positive correlation between plasma and serum F levels (r = 0.884), while moderate correlations were found between urine plus plasma and between urine plus serum (r = 0.576 an d 0.621) F levels of cases, respectively.
Excerpt:
… The accompanying fluorosis problem can be observed at various intensity levels in the study area ranging from dental fluorosis to debilitating skeletal fluorosis, along with nonskeletal manifestations and premature aging…
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Skeletal fluorosis in Vavuniya District: an observational study.
Background: The WHO recommended safe upper limit for fluoride in drinking water is 1.5 mg/l. Groundwater sources in many parts of Sri Lanka often exceed this limit. The high fluoride content of groundwater and high environmental temperatures in Vavuniya District predispose to pre-skeletal fluorosis and skeletal fluorosis in adults. Objectives: To
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Serum fluoride and skeletal fluorosis in two villages in Jiangsu Province, China
Serum fluoride in relation to the prevalence of skeletal fluorosis was investigated in two villages in Jiangsu Province, China. In the high-fluoride village of Wamiao, 132 adults (average age 52.36 years; water fluoride 2.18±0.86mg/L; range 0.85–4.50mg/L) were surveyed. In the low-fluoride village of Xinhuai, 35 adults (average age 48.11 years;
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FRZB1 rs2242070 polymorphisms is associated with brick tea type skeletal fluorosis in Kazakhs, but not in Tibetans, China.
Skeletal fluorosis is a metabolic bone and joint disease caused by excessive accumulation of fluoride in the bones. Compared with Kazakhs, Tibetans are more likely to develop moderate and severe brick tea type skeletal fluorosis, although they have similar fluoride exposure. Single nucleotide polymorphisms (SNPs) in frizzled-related protein (FRZB) have
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Voriconazole-associated periostitis: Pathophysiology, risk factors, clinical manifestations, diagnosis, and management.
Voriconazole use has been associated with osteoarticular pain and periostitis, likely due to high fluoride content in the drug formulation. This phenomenon has been described primarily with high dosage or prolonged course of voriconazole therapy in immunocompromised and transplant patient populations. Patients typically present with diffuse bony pains associated with
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A national cross-sectional study on effects of fluoride-safe water supply on the prevalence of fluorosis in China
OBJECTIVE: To assess the effects of provided fluoride-safe drinking-water for the prevention and control of endemic fluorosis in China. DESIGN: A national cross-sectional study in China. SETTING: In 1985, randomly selected villages in 27 provinces (or cities and municipalities) in 5 geographic areas all over China. PARTICIPANTS: Involved 81 786 children aged from
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