Radiographic examination of 39 patients with toxicity from both fluori
de and aluminum showed typical features of metabolic skeletal transfor
mation including osteoporosis in cortical bone and osteosclerosis in c
ancellous bone. The pro-cortical bones were transformed into soft cort
ical bones and the pro-cancellous bones were transformed into disorder
ed net-like bones with a large amount of osteoid, These features may b
e useful in the classification of skeletal fluorosis.