Usually in renal patients on long-term dialysis with<unk> -containing dialysate
Rarely acute
Muscle weakness (especially proximal)
Premature osteoporosis, bone pain, multiple fractures
Seziures
Acute or subacute altered mental status
Aluminum toxicity
Gold toxicity
Antimony toxicity
Chromium toxicity
Arsenic toxicity
Barium toxicity
Cobalt toxicity
Bismuth toxicity