The continuing crippling challenge of skeletal fluorosis – Case series and review of literature.
June 1, 2022
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Journal of Clinical and Translational Endocrinology: Case Reports
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Joseph A, Rajan R, Paul J, Cherian KE, Kapoor N, Jebasingh F, Asha HS, Thomas N, Paul TV.
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3.2. Bone biochemistry
Among the nine subjects with fluorosis, 5/9(Patient Number 1 to 5) (55.5%) had vitamin D deficiency and 4/9 (44.4%) had secondary hyperparathyroidism. Five patients(Patient Number 1 to 5) were also noted to have a component of osteomalacia as reflected by the elevated alkaline phosphatase. The mean(SD) urine fluoride was 2.9(1.4) ppm. The other bone biochemical parameters and urine fluoride are depicted in Table 2.