title: Natural course of erosive arthropathy of the hand in patients undergoing hemodialysis.
abstract: OBJECTIVE
  To assess the radiographic features of erosive arthropathy of the hands occurring in patients undergoing hemodialysis, and its relationship with metabolic abnormalities.
  
  
  METHODS
  A retrospective study of hand radiographs of 80 patients on maintenance hemodialysis was performed with the aim of detecting erosive arthropathy.
  
  
  CONCLUSIONS
  Ten patients showed erosive arthropathy of the hands with a predilection for distal interphalangeal joints. The first joint abnormality was joint space narrowing with or without erosion. The mean duration of hemodialysis was 5 years (range 1-15 years). The development of arthropathy could not be related to a metabolic factor. The pathogenesis of arthropathy of the hands is possibly multifactorial, accounting for the disparate descriptions of the radiographic features in the literature.
authors.affiliation: Unité de Radiologie Ostéo-Articulaire, Service du Pr. J. Clarisse, Hôpital B, CHRU de Lille, France.
authors.forename: A
authors.initials: A
authors.lastname: Cotten
authors.forename: R M
authors.initials: RM
authors.lastname: Flipo
authors.forename: N
authors.initials: N
authors.lastname: Boutry
authors.forename: B
authors.initials: B
authors.lastname: Cortet
authors.forename: P
authors.initials: P
authors.lastname: Chastanet
authors.forename: P
authors.initials: P
authors.lastname: Foissac-Gegoux
authors.forename: B
authors.initials: B
authors.lastname: Delcambre
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006225:Hand / Q000000981:diagnostic imaging*; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000150:complications / Q000628:therapy; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000000981:diagnostic imaging* / Q000209:etiology*; D011859:Radiography; D006435:Renal Dialysis / Q000009:adverse effects*; D012189:Retrospective Studies