ISSN: 2161-0495
+44 1478 350008
Department of Medicine, Atal Bihari Vajpayee Institute of Medical Sciences (ABVIMS) and Dr. RML Hospital, New Delhi, India
Case Report
Prosthetic Hip-associated Cobalt Toxicity and Refractory Anaemia: An Unusual Hookup
Author(s): Ankita Sheoran*, Prabhat Kumar Singh, Nishant Sharma and Pulin Kumar Gupta
Owing to the wear and tear phenomenon in patients with metal-on-metal implants, release of the metal ions and
consequent deposition of these metal ions in the surrounding muscle, followed by subsequent leaching into the
systemic circulation, causes various side effects. It is most commonly seen with metals like cobalt and chromium.
Cobalt toxicity usually presents with cardiomyopathy, polyneuropathy, bilateral optic neuropathy, bilateral
sensorineural hearing loss, thyroid disorders and polycythaemia.
Here, we report a case of a 38-year male, diagnosed case of axial spondylarthritis with bilateral hip replacement, and
misaligned left hip implant, presented to emergency with progressive dyspnoea. Although he did not have the typical
manifestation of cobalt toxicity, it was diagnosed as anaemia with polyneuropathy, secondary to cobalt toxicity, based
on seru.. View More»
DOI:
10.35248/2161-0495.23.13.525