M85.151

Clinical Causes: Chronic consumption of fluoride-laden water, especially in areas with high natural fluoride levels Occupational exposure in industries such as aluminum production, phosphate fertilizer manufacturing, or welding where fluoride fumes are prevalent Use of fluoride supplements in excessive amounts without medical supervision Ingestion of fluoride-rich products over long periods

Key Symptoms: Bone pain and tenderness, particularly in the affected thigh Stiffness and reduced mobility in the thigh and surrounding joints Bone deformities, such as thickening or sclerosis of the bones Muscle weakness around the affected area In some cases, symptoms may be mild or develop gradually, making early detection challenging

Diagnosis Path: Diagnosing skeletal fluorosis involves a combination of medical history, physical examination, and specific diagnostic tests. Healthcare providers may consider the patient’s exposure history to fluoride sources. Imaging tests, including X-rays, can reveal characteristic bone changes such as increased bone density or deformities in the thigh region. Blood and urine tests might also be performed to measure fluoride levels, helping to confirm ongoing fluoride exposure. Differential diagnosis is essential to distinguish skeletal fluorosis from other bone disorders such as arthritis or osteoporosis.

Treatment Protocols: Eliminating or decreasing fluoride intake from water, food, and occupational sources Pain management through medications as advised by healthcare providers Physical therapy to improve mobility and strengthen muscles around the affected bones Nutritional support to promote healthy bone development, including adequate intake of calcium and vitamin D In advanced cases, surgical intervention might be necessary to correct deformities or stabilize affected bones