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Anaesthesia and fluorosis.

A 74-year-old man with double vessel coronary artery disease presented with angina on exertion grade II associated with hypertension. He was a reformed smoker and was leading an active life for his age. He came from Jhunjuna province of Rajasthan, India, which is notorious for a high fluoride content in the drinking water. He gave a history of difficult spinal block for transurethral resection of prostrate, some 10 years earlier, which he recollected as 3–4 ‘pricks’ in his back. On examina

Chronic fluorosis: the disease and its anaesthetic implications..

Abstract Chronic fluorosis is a widespread disease-related to the ingestion of high levels of fluoride through water and food. Prolonged ingestion of fluoride adversely affects the teeth, bones and other organs and alters their anatomy and physiology. Fluoride excess is a risk factor in cardiovascular disease and other major diseases, including hypothyroidism, diabetes and obesity. Although anaesthesiologists may be aware of its skeletal and dental manifestations, other systemic manifesta