Skeletal fluorosis

Case contributed by Utkarsh Kabra , 12 May 2023
Diagnosis probable
Changed by Utkarsh Kabra, 31 May 2023
Disclosures - updated 1 Sep 2022: Nothing to disclose

Updates to Case Attributes

Presentation was added:
Quadriparesis
Age was set to 55 years.
Gender was set to Male.
Body was changed:

Reduced signal intensity of the bones on MRI corresponds to the increased density on CT and suggests diffuse osteosclerosis. This, along with thickening/ ossification of posterior longitudinal ligament and ligamentum flavum suggests likelihood of fluorosis. The patient belongs to a area that has endemic high fluorine content in the water.

The quadriparesis can be explained by cervical compressive myelopathy. Compressive myelopathy is also seen in thoracic spine.

  • -<p>Reduced signal intensity of the bones on MRI corresponds to the increased density on CT and suggests diffuse <a href="/articles/generalised-increased-bone-density-in-adults" title="Osteosclerosis">osteosclerosis</a>. This, along with thickening/ ossification of posterior longitudinal ligament and ligamentum flavum suggests likelihood of <a href="/articles/fluorosis" title="Fluorosis">fluorosis</a>. The patient belongs to a area that has endemic high fluorine content in the water.</p>
  • +<p>Reduced signal intensity of the bones on MRI corresponds to the increased density on CT and suggests diffuse <a href="/articles/generalised-increased-bone-density-in-adults" title="Osteosclerosis">osteosclerosis</a>. This, along with thickening/ ossification of posterior longitudinal ligament and ligamentum flavum suggests likelihood of <a href="/articles/fluorosis" title="Fluorosis">fluorosis</a>. The patient belongs to a area that has endemic high fluorine content in the water.</p><p>The quadriparesis can be explained by cervical compressive myelopathy. Compressive myelopathy is also seen in thoracic spine.</p>

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