[Hip arthroplasty in genetic hemochromatosis. Report of 5 cases].
BACKGROUND
Half of the patients with genetic hemochromatosis will have arthritis. Two of these articular involvements are well-known: the arthropathy involving the phalangeal and the metacarpophalangeal joints of the hand, useful for diagnosis, and hip arthropathy. Iron deposits seem to be involved in articular cartilage destruction.


METHODS
We report five cases of patients with hemochromatosis hip involvement. Hip arthropathy revealed hemochromatosis in one case and appeared despite efficient phlebotomies in another case. Three of these patients required hip arthroplasty.


CONCLUSIONS
Hip arthropathy remains a frequent but unknown event in genetic hemochromatosis (12.5%) and it involves the functional prognosis.
Lecoules
S
S
Service de rhumatologie, hôpital d'instruction des armées Bégin, 69, avenue de Paris, 94160 Saint-Mandé, France. aravinala@wanadoo.fr
el Maghraoui
A
A
Damiano
J
J
Lechevalier
D
D
Magnin
J
J
Eulry
F
F
D000368:Aged; D001168:Arthritis / Q000209:etiology*; D019644:Arthroplasty, Replacement, Hip; D006432:Hemochromatosis / Q000150:complications / Q000235:genetics*; D006801:Humans; D008297:Male; D008875:Middle Aged
L'atteinte coxofémorale dans l'hémochromatose génétique. A propos de cinq observations.