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    [TITRE_TRAVAIL] => Array
        (
            [0] => Chronic low back pain secondary to skeletal fluorosis
        )

    [etablissement] => Array
        (
            [0] => Mohamed Kassab orthopedic institute
        )

    [nom] => Array
        (
            [0] => Boussaâdoun
        )

    [prenom] => Array
        (
            [0] => Fawez
        )

    [email] => Array
        (
            [0] => Boussaadounfawez@gmail.com
        )

    [telephone] => Array
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            [0] => 53516828
        )

    [auteurs] => Array
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            [0] => 
 
Nom prénom: Fawez Boussaâdoun
Email: Boussaadounfawez@gmail.com
Hôpital: Mohamed Kassab orthopedic Institute

 
Nom prénom: Mohamed Samih Kacem
Email: kacemmsamih@gmail.com
Hôpital: Mohamed Kassab orthopedic Institute

 
Nom prénom: Ameni Ammar
Email: ameniammar777@gmail.com
Hôpital: Mohamed Kassab orthopedic Institute

 
Nom prénom: Oussama Hamdi
Email: Oussamahamdi2013@gmail.com
Hôpital: Mohamed Kassab orthopedic Institute

 
Nom prénom: Mahmoud Smida
Email: mahmoud.smida@yahoo.fr
Hôpital: Mohamed Kassab orthopedic Institute

 
Nom prénom: Mohamed Samir Daghfous
Email: samir.daghfous@rns.tn
Hôpital: Mohamed Kassab orthopedic Institute

        )

    [mots_cles] => Array
        (
            [0] => Skeletal fluorosis, chronic low back pain, bone condensation.;

        )

    [event-id] => Array
        (
            [0] => 3663
        )

    [statut] => Array
        (
            [0] => 1
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    [forme] => Array
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            [0] => none
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    [abstract] => Array
        (
            [0] => https://www.sotcot.tn/wp-content/uploads/gravity_forms/1-734bfe19ec36a1528718899bf7a2927f/2024/03/Resume-Fluorose1.docx
        )

    [user_email] => Array
        (
            [0] => boussaadounfawez@gmail.com
        )

    [specialite] => Array
        (
            [0] => Chirurgie orthopédique et traumatologique
        )

    [pays] => Array
        (
            [0] => Tunisie
        )

    [texte_abs] => Array
        (
            [0] => Introduction:
Skeletal fluorosis is endemic in certain regions of the world. It results from the ingestion of large quantities of fluoride in drinking water throughout life. Tunisia is not known as an endemic region for skeletal fluorosis. We present a rare case in Tunisia of chronic low back pain caused by ossification of the posterior longitudinal ligament in a young patient living in a non-endemic region for skeletal fluorosis.

Case report:
A 30-year-old man, from an urban area (Tunis), consulted for chronic inflammatory low back pain with polyarthralgia. Upon questioning, the patient reported consuming water sold in jerrycans whose origin he did not know. On examination, the patient did not present fever or joint swelling; his teeth were slightly brown, and there was diffuse tenderness in the cervical, dorsal, and lumbar spine. Neurological examination was normal. Standard radiographs revealed diffuse bone condensation involving all cervical, dorsal, and lumbar vertebrae. The brownish color of the teeth and the radiological appearance led to suspicion of fluoride poisoning. The diagnosis was confirmed by very high levels of fluoride in the blood and urine.

Conclusion:
Skeletal fluorosis is a rare toxic osteopathy characterized by massive bone fixation of fluoride. Its origin is primarily associated with hydro-telluric poisoning in North African countries. Its clinical presentation is mainly characterized by bone and dental changes with subsequent ossification of many ligaments and interosseous membranes. Its severity lies in the development of skeletal deformities and neurological complications. Treatment of fluorosis is generally symptomatic.
        )

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