alexa Cutaneous abnormalities in patients with end stage renal failure on chronic hemodialysis. A study of 458 patients.


General Medicine: Open Access

Author(s): Masmoudi A, Hajjaji Darouiche M, Ben Salah H, Ben Hmida M, Turki H

Abstract Share this page

Abstract BACKGROUND: Cutaneous manifestations occurring in patients with end stage renal failure on hemodialysis are polymorphic and diverse. OBJECTIVE: The aim of our study was to assess the prevalence and characteristics of different cutaneous manifestations in patients on hemodialysis. PATIENTS AND METHODS: We led a transverse investigation of all patients on hemodialysis in 12 haemodialysis centres of Sfax (Tunisia). We examined 458 patients (254 men and 204 women). The hemodialysis history ranged from 6 months to 24 years. A total of 394/458 (86\%) patients had cutaneous abnormalities. These included pruritus (56.6\% of patients), paleness (60.7\%), xerosis (52.8\%), hyperpigmentation or hypopigmentation (38.4\%), venous dilation near the fistula (22.2\%), eczema in the fistula area (14.8\%), half-and-half nails (13.5\%), onychodystrophy (6.1\%), subungual hemorrhage (4.5\%), leukonychia (4.5\%), stomatitis (5.6\%), xerostomia (3.2\%), gingivitis (2.4\%), uremic breath (2.1\%), and skin calcificatins (0.4\%). Nephrogenic fibrosing dermopathy was not detected in any of our patients. CONCLUSIONS: Pruritus, paleness, dry skin as well as hyperpigmentation and hypopigmentation are the most frequent skin abnormalities observed in hemodialysis patients. The early recognition of some cutaneous conditions associated with end stage renal failure and hemodialysis may allow early therapeutic intervention and decrease morbidity.
This article was published in J Dermatol Case Rep and referenced in General Medicine: Open Access

Relevant Expert PPTs

Relevant Speaker PPTs

Recommended Conferences

Relevant Topics

Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version