Skeletal fluorosis: a rare cause of diffuse bone condensation
Zeineb Alaya, Walid Osman
The Pan African Medical Journal. 2017;26:186. doi:10.11604/pamj.2017.26.186.11743

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Images in medicine

Skeletal fluorosis: a rare cause of diffuse bone condensation

Cite this: The Pan African Medical Journal. 2017;26:186. doi:10.11604/pamj.2017.26.186.11743

Received: 23/01/2017 - Accepted: 13/03/2017 - Published: 30/03/2017

Key words: Bone condensation, skeletal fluorosis, radiography

© Zeineb Alaya et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/26/186/full

Corresponding author: Zeineb Alaya, Department of Rheumatology, Farhat Hached Hospital, Faculty of Medicine of Sousse, Tunisia (zeineb_a@hotmail.fr)


Skeletal fluorosis: a rare cause of diffuse bone condensation

Zeineb Alaya1,&, Walid Osman2

 

1Department of Rheumatology, Farhat Hached Hospital, Faculty of Medicine of Sousse, Sousse, Tunisia, 2Department of Orthopaedics, Sahloul Hospital, Faculty of Medicine of Sousse, Sousse, Tunisia

 

 

&Corresponding author
Zeineb Alaya, Department of Rheumatology, Farhat Hached Hospital, Faculty of Medicine of Sousse, Tunisia

 

 

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A 69-year-old man, native of metlaoui in Tunisia, presented to the Department of Rheumatology at our institution with 10 years of non-inflammatory rachialgia with polyarthralgia. On examination, the patient had no fever or joint swelling, his teeth had brown strains and rough, there was diffuse tenderness at the cervical and lumbar spine and neurological examination was normal. Standard radiographs revealed diffuse bone condensation involving all vertebrae of the cervical, dorsal (A) and lumbar (B) spine, the skull (C), the pelvis (D) and the limbs. The origin of the patient, the brownish color of the teeth and the radiological appearance led to suspicion of fluoride poisoning, which was confirmed by the very high blood fluoride and urine dosage. Skeletal fluorosis is a rare toxic osteopathy characterized by massive bone fixation of fluoride. Its origin is dominated in the countries of North Africa by hydro-telluric poisoning. Its severity lies in the development of skeletal deformities and neurological complications. Management of fluorosis generally focuses on symptom treatment.

 

 

Figure 1: (A) X-ray of the dorsal spine in profile: diffuse bone condensation; (B) X-ray of lumbar spine in profile: diffuse bone condensation; (C)X-ray of the skull: diffuse bone condensation, (D) X-ray of the pelvis: osteosclerosis of the pelvis

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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ISSN: 1937-8688. © 2017 - Pan African Medical Journal. All rights reserved