Journal of Clinical Toxicology
Open Access

Department of Medicine, Atal Bihari Vajpayee Institute of Medical Sciences (ABVIMS) and Dr. RML Hospital, New Delhi, India

Publications

• 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

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