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A life-threatening side effect

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This patient developed cobalt and chromium toxicity after a total hip replacement. 

The presenting symptoms were progressive hearing loss, blurred vision, and peripheral neuropathy. For what other condition should this patient be screened?

Answer: Dilated cardiomyopathy is the most recognisable effect of cobalt toxicity. Other side effects include tinnitus, dermatitis, and renal failure. Symptoms often improve following revision arthroplasty.

View this and similar cases on Figure 1.

 

 

 

 

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