A study of cutaneous manifestations in chronic kidney disease patients on hemodialysis

摘要

The prevalence of chronic kidney disease (CKD) has increased at an alarming rate over the past few decades. The patients with CKD have an array of cutaneous manifestations which have been further increased upon by hemodialysis as hemodialysis prolongs life expectancy which further provides time for cutaneous disorders to manifest. The present study was done in the department of dermatology at our tertiary centre. The aim of this study was to evaluate the pattern of cutaneous disorders in patients of CKD on hemodialysis and to assess any correlation between kidney disease severity and skin manifestations. 120 patients with CKD on hemodialysis were taken up for study. The study was carried out for a period of six months from July 2016 to December 2016. A detailed history, clinical examination of skin, hair and nails was done. Appropriate investigations were carried out wherever necessary. Out of 120 patients, 86 were males and 34 were females. Maximum patients were in the age group of 41-60 years. Diabetes was the main reason for CKD in 59 patients and hypertension in 22 patients. Pruritis was seen in 72 patients. Xerosis was seen in 51 patients followed by pigmentation in 30 patients. These skin findings were found more in patients with severe and chronic kidney disease.