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.
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