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