Skin Changes among Patients with Chronic Kidney Disease on Predialysis and Maintenance Haemodyalisis

Migena Gega, Ermira Vasili, Margarita Resuli

Abstract: Chronic renal failure presents with various cutaneous manifestations. The aim of this study was to estimate the frequency and pattern of cutaneous manifestations among patients with chronic renal failure on regular haemodyalisis and in predialysis. This is a prospective study of 198 patients with chronic kidney disease on haemodyalisis (n=65) and in predialysis (n=133) were examined by a dermatologist to assess the skin, hair, nails, and mucous membranes. Of the 65 studied patients, 30 (46 %) were women and 35 (54 %) were men with a mean age of 49.2 15.8 years. The duration of hemodialysis was 27.8 11.0 months. Dermatologic examination revealed that 175 patients (88.4 %) suffered from at least one type of skin problems, of whom 96.9 % in dialysis group and 84.2 % in pre dialysis. Cutaneous alterations are frequent in patients with chronic renal disease. All the patients should follow up regularly dermatological examination to reduce the morbidity.

Keywords: chronic renal disease, dermatologic manifestations, hemodialysis