rapid-onset diffuse skeletal fluorosis from inhalant abuse by eric cohen, raymond y. hsu, peter...

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Rapid-Onset Diffuse Skeletal Fluorosis from Inhalant Abuse by Eric Cohen, Raymond Y. Hsu, Peter Evangelista, Roy Aaron, and Lee E. Rubin JBJS Case Connect Volume 4(4):e108 November 26, 2014 ©2014 by The Journal of Bone and Joint Surgery, Inc.

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Page 1: Rapid-Onset Diffuse Skeletal Fluorosis from Inhalant Abuse by Eric Cohen, Raymond Y. Hsu, Peter Evangelista, Roy Aaron, and Lee E. Rubin JBJS Case Connect

Rapid-Onset Diffuse Skeletal Fluorosis from Inhalant Abuse

by Eric Cohen, Raymond Y. Hsu, Peter Evangelista, Roy Aaron, and Lee E. Rubin

JBJS Case ConnectVolume 4(4):e108

November 26, 2014

©2014 by The Journal of Bone and Joint Surgery, Inc.

Page 2: Rapid-Onset Diffuse Skeletal Fluorosis from Inhalant Abuse by Eric Cohen, Raymond Y. Hsu, Peter Evangelista, Roy Aaron, and Lee E. Rubin JBJS Case Connect

Anteroposterior radiograph of the pelvis demonstrating heterotopic ossification and dense sclerosis of both hips.

Eric Cohen et al. JBJS Case Connect 2014;4:e108

©2014 by The Journal of Bone and Joint Surgery, Inc.

Page 3: Rapid-Onset Diffuse Skeletal Fluorosis from Inhalant Abuse by Eric Cohen, Raymond Y. Hsu, Peter Evangelista, Roy Aaron, and Lee E. Rubin JBJS Case Connect

Coronal CT image of the left hip showing generalized osteosclerosis with trabecular condensation and areas of trabecular rarefaction.

Eric Cohen et al. JBJS Case Connect 2014;4:e108

©2014 by The Journal of Bone and Joint Surgery, Inc.

Page 4: Rapid-Onset Diffuse Skeletal Fluorosis from Inhalant Abuse by Eric Cohen, Raymond Y. Hsu, Peter Evangelista, Roy Aaron, and Lee E. Rubin JBJS Case Connect

Lateral lumbar spine radiograph demonstrating diffuse osteosclerosis with a chalky white appearance.

Eric Cohen et al. JBJS Case Connect 2014;4:e108

©2014 by The Journal of Bone and Joint Surgery, Inc.

Page 5: Rapid-Onset Diffuse Skeletal Fluorosis from Inhalant Abuse by Eric Cohen, Raymond Y. Hsu, Peter Evangelista, Roy Aaron, and Lee E. Rubin JBJS Case Connect

Eric Cohen et al. JBJS Case Connect 2014;4:e108

©2014 by The Journal of Bone and Joint Surgery, Inc.

Page 6: Rapid-Onset Diffuse Skeletal Fluorosis from Inhalant Abuse by Eric Cohen, Raymond Y. Hsu, Peter Evangelista, Roy Aaron, and Lee E. Rubin JBJS Case Connect

Eric Cohen et al. JBJS Case Connect 2014;4:e108

©2014 by The Journal of Bone and Joint Surgery, Inc.

Page 7: Rapid-Onset Diffuse Skeletal Fluorosis from Inhalant Abuse by Eric Cohen, Raymond Y. Hsu, Peter Evangelista, Roy Aaron, and Lee E. Rubin JBJS Case Connect

Eric Cohen et al. JBJS Case Connect 2014;4:e108

©2014 by The Journal of Bone and Joint Surgery, Inc.

Page 8: Rapid-Onset Diffuse Skeletal Fluorosis from Inhalant Abuse by Eric Cohen, Raymond Y. Hsu, Peter Evangelista, Roy Aaron, and Lee E. Rubin JBJS Case Connect

Eric Cohen et al. JBJS Case Connect 2014;4:e108

©2014 by The Journal of Bone and Joint Surgery, Inc.

Page 9: Rapid-Onset Diffuse Skeletal Fluorosis from Inhalant Abuse by Eric Cohen, Raymond Y. Hsu, Peter Evangelista, Roy Aaron, and Lee E. Rubin JBJS Case Connect

A whole-body bone scintigram revealed diffuse increased skeletal and soft-tissue uptake with faint kidney visualization compatible with a “superscan.”.

Eric Cohen et al. JBJS Case Connect 2014;4:e108

©2014 by The Journal of Bone and Joint Surgery, Inc.

Page 10: Rapid-Onset Diffuse Skeletal Fluorosis from Inhalant Abuse by Eric Cohen, Raymond Y. Hsu, Peter Evangelista, Roy Aaron, and Lee E. Rubin JBJS Case Connect

Eric Cohen et al. JBJS Case Connect 2014;4:e108

©2014 by The Journal of Bone and Joint Surgery, Inc.

Page 11: Rapid-Onset Diffuse Skeletal Fluorosis from Inhalant Abuse by Eric Cohen, Raymond Y. Hsu, Peter Evangelista, Roy Aaron, and Lee E. Rubin JBJS Case Connect

Eric Cohen et al. JBJS Case Connect 2014;4:e108

©2014 by The Journal of Bone and Joint Surgery, Inc.

Page 12: Rapid-Onset Diffuse Skeletal Fluorosis from Inhalant Abuse by Eric Cohen, Raymond Y. Hsu, Peter Evangelista, Roy Aaron, and Lee E. Rubin JBJS Case Connect

Eric Cohen et al. JBJS Case Connect 2014;4:e108

©2014 by The Journal of Bone and Joint Surgery, Inc.