Case 298: Skeletal Fluorosis Secondary to Huffing. Radiology 2022 Feb;302(2):484-488
Date
01/25/2022Pubmed ID
35073201DOI
10.1148/radiol.203739Scopus ID
2-s2.0-85123745041 (requires institutional sign-in at Scopus site) 1 CitationAbstract
History A 37-year-old man from the United States presented with a 1-year history of neck pain and stiffness that had been unsuccessfully treated with manipulative therapy by a chiropractor at another institution. Past medical history was remarkable only for marijuana and air duster abuse. He denied use of any prescription medications. Physical examination was notable for markedly reduced range of motion of the cervical spine. Laboratory work-up revealed an elevated alkaline phosphatase level (302 U/L [5.0 μkat/L]; normal range, 40-100 U/L [0.7-1.67 μkat/L]), but all other laboratory findings, including complete blood count, renal function, liver function, vitamin A level, serum protein electrophoresis, and hepatitis C antibodies were within normal limits. Cervical spine radiography was performed, followed by MRI. Subsequently, a full skeletal survey was ordered. Included are representative radiographs of the pelvis, left forearm, and distal right leg with ankle.
Author List
Mayer MJ, Gliedt JA, Shaker JA, Symanski JSAuthors
Jordan Gliedt DC Assistant Professor in the Neurosurgery department at Medical College of WisconsinJoseph L. Shaker MD Professor in the Medicine department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdultAerosol Propellants
Cervical Vertebrae
Diagnosis, Differential
Fibula
Humans
Male
Osteosclerosis
Pelvic Bones
Tibia
