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Review Question - QID 212988

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QID 212988 (Type "212988" in App Search)
A 45-year-old male presents with increasing left groin pain. He has a history of bilateral hip avascular necrosis and underwent bilateral hip resurfacing arthroplasties 3 years ago. He is a recreational runner and recently ran a 10-kilometer race several weeks ago. Figure A demonstrates an AP radiograph of his pelvis. Serum testing demonstrated a cobalt level of 10 mcg/L (reference 0.8 - 5.1 mcg/L) and chromium level of 7 mcg/L (reference 0.5 - 2.5 mcg/L). What is the likely cause of the patient's symptoms?
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