Cutaneous manifestations in patients with chronic kidney disease on hemodialysis at Prince Hashem Bin Al-Hussein Hospital in Al-Zarqa

Abstract EN

Objective : The aim of the study was to assess the frequency of cutaneous manifestations in patients with chronic kidney disease on hemodialysis.

Methods : A retrospective study, including 75 patients with chronic kidney disease at Prince Hashem Hospital in Al-Zarqa-Jordan, were seen and properly evaluated for their current skin problems.

Their files were reviewed.

Patients' age, sex, associated medical illnesses, underlying causes of renal failure, the duration of renal failure and the duration of hemodialysis were included.

Descriptive statistical analysis was used.

Results : There were 31 female (41.3 %) and 44 male (58.7 %) patients, the mean age of the study group was 53.9 years, 66 patients (88 %) complained of skin problems.

The most common problem was xerosis in 61 patients (82.3 %), pallor in 60 patients (80 %), pruritus in 45 patients (60 %), pigmentary changes in 45 patients (60 %), oral mucosal changes were seen in 48 patients (64 %), hair changes in 34 patients (45 %), nail changes in 29 patients (39 %) and other cutaneous changes such as purpura in 14 patients (18.6 %), acquired perforating folliculitis in six patients (8 %) and nephrogenic fibrosing dermopathy in two patients (2.7 %).

Conclusion : Cutaneous manifestations are very common in patients with chronic kidney disease undergoing hemodialysis.

Pruritus was the most troublesome symptom and xerosis was the commonest finding.

More attention to cutaneous changes may help to relieve some of patient’s co-morbid symptoms and improve their quality of life.