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Skeletal fluorosis mimicking seronegative arthritis

Fluorosis is endemic in certain parts of the world, especially the Asian subcontinent (1). We report an unusual presentation of fluorosis mimicking seronegative spondyloarthritis. Although fluorosis is known to cause irritable bowel syndrome-like disorder and joint pain, this could be wrongly diagnosed as a case of seronegative arthritis. Case report A 35-year-old female presented with joint pain involving the lower back, both heels, and the knee for the past 3 years. She described early m