Hemodialysis-related pruritus and associated cutaneous manifestations
| Autor: | D. Rozenman, Arshalom Shustak, Pavel Dyachenko |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty Uremic pruritus medicine.medical_treatment Dermatology Skin Diseases chemistry.chemical_compound Renal Dialysis Surveys and Questionnaires Internal medicine Prevalence medicine Humans Israel skin and connective tissue diseases Prospective cohort study Dialysis Aged Uremia Aged 80 and over Creatinine business.industry Patient Selection Pruritus Middle Aged medicine.disease Surgery chemistry Cohort Kidney Failure Chronic Itching Female Hemodialysis medicine.symptom business Kidney disease |
| Zdroj: | International Journal of Dermatology. 45:664-667 |
| ISSN: | 1365-4632 0011-9059 |
| Popis: | Background Uremic pruritus is one of the most common disabling problems in patients with chronic renal failure. Few studies have evaluated itching and cutaneous manifestations in hemodialysis-dependent patients. Objectives The aim of this prospective study was to identify the prevalence of pruritus and cutaneous changes affecting patients undergoing hemodialysis. Methods The degree of itching in 70 patients treated at the Haemek Medical Center Hemodialysis Unit, in northern Israel, was scored according to presence and severity. We examined the relationship between the quality of dialysis and the frequency of pruritus, and identified concurrent cutaneous disorders. Results Pruritus was a common problem in the study cohort and affected 74.3% of hemodialysis patients at some point. The main characteristics of pruritus were a general pattern in 65.7% and mild intensity in 78.3% of observed patients. Duration of hemodialysis varied between 3 months and 13 years. There was no correlation between occurrence of pruritus and demographic or medical parameters (sex, type of kidney disease, regular medications or duration of hemodialysis) of the patients. Higher dialysis efficacy, as expressed by dialyser clearance, volume distribution of area, dialysis duration (Kt/v), may reduce the prevalence of pruritus (P |
| Databáze: | OpenAIRE |
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