Aluminum Toxicity

Question 1

MC sources of toxicity?

Answer 1

Peptic ulcer meds (Al carbonate)

Phosphate binders (contain Al) in uremic patients

TPN

Question 2

Radiographic findings in Al Tox?

Answer 2

Osteopenia (related to osteomalacia)

Looser’s Zones (insufficiency Fx’s)

Complete Fx’s (involving ribs, spine, tubular bones)

Ricket’s like changes in Children

Question 3

Al and brain?

Answer 3

Dialysis encephalopathy MC