fluorosis

• drinking water with fluoride concentration >8 ppm (several cases in Spain)
• agricultural or industrial contamination (Texas, Arizona)

clinical finding:

• mottling of teeth enamel

xray findings:

• thickening of bony trabecular pattern
  • best seen in vertebral bodies
  • progresses to dense uniform symmetrical sclerosis that obliterates bony architectural landmarks
• marked periosteal proliferation
• ligamentous calcification (esp. sacrospinous, sacrotuberous ligaments)

© 2002, C.E. Kahn, Jr.
2002-04-18