The Detroit woman visited the doctor after experiencing pain in her lower back, arms, legs and hips for five years. The fluoride deposits will gradually go away as the bone remodels (or repairs) itself, a process that occurs frequently in the body, Rao said. Sign in assamica)are the varieties usually grown today. Dr. Michael Whyte, who has authored several of these studies, cautions that “many” tea drinkers are currently receiving fluoride doses that put them at risk for skeletal fluorosis. Naveen Kakumanu, M.D.Sudhaker D. Rao, M.B., B.S.Henry Ford Health System, Detroit, MI [email protected]org, March 21, 2013N Engl J Med 2013; 368:1140 368 (12): 1140. doi:10.1056/NEJMicm1200995. Rao said the patient was originally referred to him because her doctors suspected she had cancer, which can also show up on an X-ray as areas of dense bone. A 47-year-old woman was referred for bone pain and abnormal findings on radiography. Information and tools for librarians about site license offerings. . Dark, bla… In recent years, there have been a number of reports documenting skeletal fluorosis in the United States among heavy tea drinkers. A few other cases of skeletal fluorosis caused by tea drinking have been reported in the United States. After drinking an extremely concentrated pitcher of tea made from over 100 tea bags every day for 17 years, a 47-year-old Detroit woman developed a rare bone disease called skeletal fluorosis. This content requires an NEJM.org account. Thank you for signing up to Live Science. Please refresh the page and try again. Although fluoride-related bone disease due to excessive brick tea consumption is endemic in some parts of the world, it is less common in the United States ( 4 ). Camellia sinensis (var. Visit our corporate site. Follow Rachael Rettner @RachaelRettner. But because Rao had seen cases of skeletal fluorosis in his native India, "I was able to recognize it immediately," he said. The authorized source of trusted medical research and education for the Chinese-language medical community. Create a free account now. © (Low levels of fluoride are added to drinking water in the United States to prevent cavities, but aren't high enough to cause fluorosis.). In addition, fluoride exposure from any source or the combination of- can lead to skeletal fluorosis. The patient's blood levels of fluoride were four times higher than what would be considered normal, the researchers said. The age of the tea leaves and the fermenting processing differ for each kind of tea. It all starts with tea plants. Please deactivate your ad blocker in order to see our subscription offer. X-rays revealed areas of very dense bone on the spinal vertebrae and calcifications of ligaments in her arm, said study researcher Dr. Sudhaker D. Rao, a physician at Henry Ford Hospital who specializes in endocrinology and bone and mineral metabolism. A 47-year-old U.S. woman developed a bone disease rarely seen in the U.S. after consuming an excessive amount of tea. New England Journal of Medicine. Excess fluoride is typically eliminated from the body by the kidneys, Rao said. Information, resources, and support needed to approach rotations - and life as a resident. Get access now with a free NEJM.org account. NEW! (Remember that herbal teas are not made from tea plants, but from herbs.) (Whyte 2008). Prepare to become a physician, build your knowledge, lead a health care organization, and advance your career with NEJM Group information and services. A number of recent studies, for example, have found that heavy tea drinkers can develop skeletal fluorosis – a bone disease caused by excessive intake of fluoride. Future US, Inc. 11 West 42nd Street, 15th Floor, But before you think about throwing away all of the tea bags in your home, recognize that this article is no reason for the typical tea drinker … The researchers suspected the woman had skeletal fluorosis, a bone disease caused by consuming too much fluoride (a mineral found in tea as well as drinking water). Due to the high levels of fluoride in tea drinks, people who regularly drink tea are at an elevated risk of fluoride toxicity. Tea contains trace amounts of fluoride, a mineral that is added to toothpastes and water supplies because small amounts help prevent tooth decay. But if one consumes a lot of it, as this patient did through tea drinking, over time, the fluoride forms crystal deposits on bone, Rao said. An x-ray showed calcifications on ligaments (left) and areas of dense bone on the spinal vertebrae (right). (Op-Ed), Megalodon nurseries reveal world’s largest shark had a soft side, 20 of the worst epidemics and pandemics in history, Catch the full moon (and a penumbral eclipse) on Monday. (2013-03-21). One such headline was this: “Too Much Tea Can Result in Skeletal Fluorosis.” Some anti-fluoride groups hype this fear with irresponsible content like this . Banned in 160 Nations, Why is Ractopamine in U.S. Pork? The content of this site is intended for health care professionals. Since skeletal fluorosis can closely resemble common forms of arthritis, it is commonly misdiagnosed as being arthritis. Stay connected to what's important in medical research and clinical practice, Subscribe to the most trusted and influential source ofmedical knowledge. PMID 23514291.CS1 maint: multiple names: authors list (link) There was a problem. The patient reported that for the past 17 years she has habitually consumed a pitcher of tea made from 100 to 150 tea bags daily. The researchers suspected the woman had skeletal fluorosis, a bone disease caused by consuming too much fluoride (a mineral found in tea as well as … How, exactly, does fluoride get into tea? Rao and colleagues instructed their patient to stop drinking tea, after which she experienced an improvement in symptoms. & Sudhaker D. Rao, M.B., B.S. Skeletal fluorosis is endemic in regions of the world with naturally high levels of fluoride in drinking water, including some parts of India and China, but is rare in Europe and North America. This content requires an NEJM.org account. Pass it on: A 47-year-old U.S. woman developed a bone disease after drinking a pitcher of tea a day for 17 years. NY 10036. You will receive a verification email shortly. A description of the case will be published tomorrow (March 21) in the New England Journal of Medicine. A 47-year-old Michigan woman developed a bone disease rarely seen in the U.S. after she drank a pitcher of tea made from at least 100 tea bags daily, for 17 years, researchers report. Peer-reviewed journal featuring in-depth articles to accelerate the transformation of health care delivery. With the largest and most consistent source of fluoride in most societies being fluoridated water, dental products, and fluoride in tea. List of authors. New York, Valuable tools for building a rewarding career in health care. There are multiple environmental sources of fluoride; however, skeletal fluorosis from chronic ingestion of large volumes of instant or brewed tea is an uncommon and less-recognized cause. Concise summaries and expert physician commentary that busy clinicians need to enhance patient care. This story was provided by MyHealthNewsDaily, a sister site to LiveScience. (Image: © New England Journal of Medicine ©2013.). Live Science is part of Future US Inc, an international media group and leading digital publisher. sinensis) and Camellia sinensis (var. Already have an account? Receive mail from us on behalf of our trusted partners or sponsors? All types of tea—white, yellow, green, oolong, dark, black, and pu-erh—come from these two plants.
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