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    Therapie. 1990 Sep-Oct;45(5):419-22.

    [Iatrogenic fluorosis. 2 cases]

    [Article in French]

    Welsch M, Bloch JG, Stephan D, Bloch R, Imbs JL.

    Centre Régional de Pharmacovigilance Alsace et Service d'Hypertension et Maladies vasculaires, Hôpital Civil, Strasbourg.

    Two new cases of osteofluorosis are presented. They are attested by the existence of a bone X-ray densification, by histological lesions of hyperosteoidosis and a large increase in the fluorine content. One is a 61 year-old man who consumed 2.5 l a day of Vichy St-Yorre (a mineral water containing 8 mg of fluorine ions per litre) during 11 years; the other, an 86 year-old man who during 20 years took 500 mg of niflumic acid a day, a non-steroidal anti-inflammatory drug containing 3 fluorine atoms per molecule (i.e., 50 mg fluorine per 250 mg gellule). Both these hypertensive patients had severe renal insufficiency. These two observations serve as a reminder of the indispensable precautions to be observed when prescribing fluorine salts in the treatment of post-menopausal osteoporosis: at least the plasma creatinine level should be available in order to calculate the endogenous creatinine clearance and any possible supplementary intake of fluorine salts should be checked.

    PMID: 2260035 [PubMed - indexed for MEDLINE]

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