Dermatological manifestations in patients with end-stage renal disease at the hemodialysis center in merjan hospital at Babylon province, Iraq

• Main Authors: Safaa S Alwaash, Maha Abd A. Alshukri, Khalid H Al-Shibly
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2020-01-01
• Series: Medical Journal of Babylon
• Subjects: chronic kidney disease; cutaneous manifestations; end-stage renal disease; hemodialysis
• Online Access: http://www.medjbabylon.org/article.asp?issn=1812-156X;year=2020;volume=17;issue=2;spage=204;epage=208;aulast=Alwaash
• ISSN: 1812-156X; 2312-6760

Background: Chronic kidney disease (CKD) refers to an irreversible deterioration in renal function which ordinarily develops over a period of years. Many cutaneous anomalies have been encountered in patients with end-stage renal disease that precedes or follows the initiation of dialysis treatment or kidney transplantation. Manifestations such as pallor, pruritus, xerosis, or even hyperpigmentation and perforating disease are commonly exhibited in such patients. Objective: The aim of this study is to estimate the prevalence of cutaneous manifestations in patients with CKD undergoing hemodialysis. Materials and Methods: A cross-sectional study involved 103 patients with CKD at the hemodialysis center of Merjan Teaching Hospital, Babylon province, Iraq. Results: Many dermatological manifestations were diagnosed in patients of this study ranging from xerosis (85%) and pallor (82%) to calcinosis cutis (1%) and perforating disease (1%). Forty percent of our patients had a 2-year history of dialysis, 50% possess between 2 and 6 years, whereas the remaining 10% were compelled to have hemodialysis for more than 6 years. Cutaneous manifestations were found in 97% of patients. Conclusions: There is a high prevalence of cutaneous changes found in patients with CKD undergoing hemodialysis.