Alessandro Biglia, Valentina Morandi, Sara Monti, Paolo Delvino, Lorenzo Cavagna, Carlomaurizio Montecucco
Cobalt-containing hip prosthesis may cause systemic toxicity due to the release of cobalt from metal-on-metal (MoM) joint arthroplasty into the bloodstream. High cobalt blood levels can lead to a variety of clinical manifestations, mimicking other disorders, especially autoimmune, hematologic, and infectious diseases. Our purpose is to describe a clinical case of cobalt hip prosthesis intoxication mimicking an autoimmune disease, with systemic inflammation signs, arthro-myalgias unrelated to overt synovitis, and multiple autoantibody positivity...
December 2020: Joint, Bone, Spine: Revue du Rhumatisme