Circulating levels of haptoglobin and C-reactive protein were studied
in patients of skeletal fluorosis and compared with two types of contr
ols. The first type of control included normal healthy individuals con
suming water containing permissible levels of fluoride (up to 1 mg/L).
The second type of control included individuals consuming water conta
minated with fluoride (1.2-14.5 mg/L) but not exhibiting clinical mani
festations of skeletal fluorosis. A significant increase in the levels
of haptoglobin (p < 0.01) and C-reactive protein (p < 0.01) as well a
s a raised erythrocyte sedimentation rate were seen in patients of ske
letal fluorosis as compared to both types of controls. The present stu
dy suggests the possibility of a subclinical inflammatory reaction occ
urring in patients with skeletal fluorosis.