title: Arthroprosthetic cobaltism and cardiomyopathy.
abstract: Cobaltism related to athroplasty implants has been anecdotally documented in at least six cases presenting with a combination of neurological, endocrine and cardiac symptoms with improvement in most symptoms after revision. Causality however has not been well established. This report documents the case of a 75 year-old male farmer who presents with possible cobalt cardiomyopathy from severe cobalt poisoning in the setting of arthroprosthetic cobaltism with symptomatic improvement upon revision of the hip.
authors.affiliation: The Geelong Hospital, Geelong Cardiology Research Unit, P.O. Box: 281, Geelong, VIC 3220, Australia. colin_machado@yahoo.com
authors.forename: Colin
authors.initials: C
authors.lastname: Machado
authors.forename: Alan
authors.initials: A
authors.lastname: Appelbe
authors.forename: Robert
authors.initials: R
authors.lastname: Wood
mesh_terms: D019644:Arthroplasty, Replacement, Hip; D009202:Cardiomyopathies / Q000139:chemically induced* / Q000601:surgery; D003035:Cobalt / Q000633:toxicity*; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male
chemical_list: D003035:Cobalt