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Medical geology in tropical countries with special reference to Sri Lanka.

References Bhattacharya, P., Chatterjee, D., & Jacks, G. (1997). Occurrence of arsenic contaminated groundwater in alluvial aquifers from Delta Plains, Eastern India: options for safe drinking water supply. Water Resources Development, 13(1), 79–92. Article  Google Scholar Christensen, H., & Dharmagunawardhane, H. A. (1986). Hydrogeological investigations in hardrock terrains of Sri Lanka with special emphasis on Matale and Polonnaruwa District. In Proceedi

Recovery from skeletal fluorosis (an enigmatic, American case)

Our patient emphasizes the importance of considering fluoride as an explanation for osteosclerosis, and in diagnosing skeletal fluorosis especially in those who are at high risk from environmental or occupational exposure. Skeletal fluorosis, whether from current or remote exposure, is readily detected using axial DXA and diagnosed using urinary fluoride measurements. Eliminating the source of fluoride toxicity leads to a reversible disorder, albeit one that will likely linger and perhaps impact

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