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This patient developed cobalt and chromium toxicity after a total hip replacement. The presenting symptoms were progressive hearing loss, blurred vision, and peripheral neuropathy.
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Dilated cardiomyopathy is the most recognizable effect of cobalt toxicity. Other side effects include tinnitus, dermatitis, and renal failure. Symptoms often improve following revision arthroplasty. View this image on Figure 1 to find out more.
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