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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