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Recovery from skeletal fluorosis

Kurland et al.(1) reported a fascinating case of skeletal fluorosis in a man who probably ingested significant quantities of fluoride from toothpaste. They report that after withdrawal of fluoride, there was a short initial period of rapid bone loss, followed by a prolonged period of slow BMD loss from the lumbar spine—such that the Z-score was still +9 some 8 yr later. A patient with skeletal fluorosis has attended my clinic for a similar period. At the age of 53 yr, after having sustained

Fluoride studies in a patient with arthritis

SIR, A high intake of fluoride (F-) is known to cause severe skeletal fluorosis, but the actual fluoride intake required to produce fluorosis is unknown. I have shown that tea-drinking in Britain causes a high intake in both children and adults, maximum intakes in children surveyed reaching nearly 6 mg daily in unfluoridated areas and nearly 7 mg daily in fluoridated areas. (1) It is possible that fluoride intake from tea may be sufficient to cause fluorosis, and I report here a case which gives

Skeletal fluorosis mimicking seronegative spondyloarthropathy: a deceptive presentation

Case history A 40-year-old man presented with a history of continuous pain in his back for one year and knee and elbow joints for nine months. It was associated with early morning stiffness lasting for 15 min. He had also begun to have difficulty walking. He was a driver by profession and revealed that he had difficulty in getting out of the driver’s seat after driving for long periods. There was no history of redness in his eyes, he had no skin manifestations and his bowel and bladder were