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American Journal of Roentgenology, Vol 133, Issue 1, 25-29
Copyright © 1979 by American Roentgen Ray Society

Articles

Terminal phalangeal tufts: earliest site of renal osteodystrophy findings in hemodialysis patients

M Sundaram, PF Joyce, JB Shields, MA Riaz, and S Sagar

Direct magnificaiton of the hands of 44 patients on maintenance hemodialysis showed that the earliest unequivocal changes of renal osteodystrophy occur in the tufts. Some workers made a similar observation, but no previous objective study confirmed or refuted the sensitivity of the tufts in the diagnosis of renal osteodystrophy. The macroradiograph is consistently reproducible and serves as an excellent visual record of subtle changes.
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Copyright © 1979 by the American Roentgen Ray Society.