63-year-old woman with hip prosthesis, asthenia, headaches and hypothyroidism
DOI:
https://doi.org/10.32818/reccmi.a4n2a12Keywords:
metalosis, hip prosthesis, inflammatory pseudotumor, cobalt.Abstract
Patients undergoing hip replacement using the metal-metal friction pair can develop local or systemic pathologies related to the release of Cobalt and Chromium particles by the continuous rubbing of its metallic surfaces. This phenomenon called metallosis is important to keep in mind the diagnosis of suspicious to know the pathologies produced by this metallosis and in these cases, request a serum determination of Cobalt and Chromium. The treatment of symptomatic metallosis consists of prosthetic removal and replacement, achieving a decrease in the blood concentrations of these metals and an improvement of the systemic clinical picture. We present a female carrier of hip arthroplasty evaluated in Internal Medicine for chronic presentation asthenia, headaches, sensory disturbances (sight, hearing) and hypothyroidism.
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Copyright (c) 2019 Jorge Salvador-Marín, Francisco Javier Ferrández-Martínez, Aarón Gutiérrez-Pastor, José Fernando Martínez-López, José Miguel Seguí-Ripoll
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