A 47-year old woman was referred for bone pain and abnormal findings on radiography. The patient repoed that for the past 17 years, she has habitually consumed water from that area. She repoed a 5-years history ofpain in the lower back, arms, legs and hips, Because of brittleness, all her teeth had been extracted. Radiography ofthe forearm revealed interosseous membrane calcification and radiography of the spine revealed a rugger-jersey appearance (striated pattern of increased density in the upper and lower zones of the veebrae). This patient is likely to have -
Adults who had renal damage due to fluoride in childhood are vulnerable to CKD with continued consumption of water from the same source. Patients with chronic renal insufficiency are at an increased risk of chronic fluoride toxicity. Ref Davidson 23rd edition pg 715
Vitamin B deficiency
BitaminD toxicity
Associated cardiac problems
Renal damage
Miscellaneous