Introduction: Skin manifestations in chronic hemodialysis patients are frequent and polymorphous. The pathogenesis of these skin manifestations is poorly elucidated. The aim of this study was to determine the prevalence and clinical characteristics of these skin lesions and to review the literature on their pathogenesis. Methods: A descriptive multicenter cross-sectional study over 2-month period (November to December 2017) was conducted among chronic hemodialysis patients in 5 dialysis centers in Antananarivo Madagascar. Results: The study included 129 patients, 79 men and 50 women with a mean age of 53.4 years. The average duration of hemodialysis was 32.1 months. All patients presented at least one skin manifestation. Skin xerosis (72.97%), hyperpigmentation (70.54%) and pruritus (58.14%) were the most frequent specific signs of hemodialysis. Other non-specific signs found were acne (10.5%), prurigo (0.7%), ecchymosis (1.55%) and skin infections (10.8%). Only two patients had Kyrle's disease. Exoskeleton abnormalities were found in 44.19% of cases, represented essentially by onychomycosis (50%). According to our study, these cutaneous manifestations were not related to age or gender. Conclusion: Skin manifestations in chronic hemodialysis patients are frequent and deserve to be known by dermatologists. A good management of these conditions can reduce their prevalence and thus improve patient’s quality of life.
| Published in | International Journal of Clinical Dermatology (Volume 5, Issue 1) |
| DOI | 10.11648/j.ijcd.20220501.12 |
| Page(s) | 6-10 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2022. Published by Science Publishing Group |
Cutaneous Manifestations, Hemodialysis, Madagascar, Uremic Pruritus, Xerosis
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APA Style
Mendrika Fifaliana Rakotoarisaona, Fandresena Arilala Sendrasoa, Malalaniaina Andrianarison, Onivola Raharolahy, Naina Harinjara Razanakoto, et al. (2022). Cutaneous Manifestations in Chronic Hemodialysis Patients in Antananarivo Madagascar. International Journal of Clinical Dermatology, 5(1), 6-10. https://doi.org/10.11648/j.ijcd.20220501.12
ACS Style
Mendrika Fifaliana Rakotoarisaona; Fandresena Arilala Sendrasoa; Malalaniaina Andrianarison; Onivola Raharolahy; Naina Harinjara Razanakoto, et al. Cutaneous Manifestations in Chronic Hemodialysis Patients in Antananarivo Madagascar. Int. J. Clin. Dermatol. 2022, 5(1), 6-10. doi: 10.11648/j.ijcd.20220501.12
AMA Style
Mendrika Fifaliana Rakotoarisaona, Fandresena Arilala Sendrasoa, Malalaniaina Andrianarison, Onivola Raharolahy, Naina Harinjara Razanakoto, et al. Cutaneous Manifestations in Chronic Hemodialysis Patients in Antananarivo Madagascar. Int J Clin Dermatol. 2022;5(1):6-10. doi: 10.11648/j.ijcd.20220501.12
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author = {Mendrika Fifaliana Rakotoarisaona and Fandresena Arilala Sendrasoa and Malalaniaina Andrianarison and Onivola Raharolahy and Naina Harinjara Razanakoto and Moril Sata and Volatantely Ratovonjanahary and Irina Mamisoa Ranaivo and Lala Soavina Ramarozatovo and Fahafahantsoa Rapelanoro Rabenja},
title = {Cutaneous Manifestations in Chronic Hemodialysis Patients in Antananarivo Madagascar},
journal = {International Journal of Clinical Dermatology},
volume = {5},
number = {1},
pages = {6-10},
doi = {10.11648/j.ijcd.20220501.12},
url = {https://doi.org/10.11648/j.ijcd.20220501.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcd.20220501.12},
abstract = {Introduction: Skin manifestations in chronic hemodialysis patients are frequent and polymorphous. The pathogenesis of these skin manifestations is poorly elucidated. The aim of this study was to determine the prevalence and clinical characteristics of these skin lesions and to review the literature on their pathogenesis. Methods: A descriptive multicenter cross-sectional study over 2-month period (November to December 2017) was conducted among chronic hemodialysis patients in 5 dialysis centers in Antananarivo Madagascar. Results: The study included 129 patients, 79 men and 50 women with a mean age of 53.4 years. The average duration of hemodialysis was 32.1 months. All patients presented at least one skin manifestation. Skin xerosis (72.97%), hyperpigmentation (70.54%) and pruritus (58.14%) were the most frequent specific signs of hemodialysis. Other non-specific signs found were acne (10.5%), prurigo (0.7%), ecchymosis (1.55%) and skin infections (10.8%). Only two patients had Kyrle's disease. Exoskeleton abnormalities were found in 44.19% of cases, represented essentially by onychomycosis (50%). According to our study, these cutaneous manifestations were not related to age or gender. Conclusion: Skin manifestations in chronic hemodialysis patients are frequent and deserve to be known by dermatologists. A good management of these conditions can reduce their prevalence and thus improve patient’s quality of life.},
year = {2022}
}
TY - JOUR T1 - Cutaneous Manifestations in Chronic Hemodialysis Patients in Antananarivo Madagascar AU - Mendrika Fifaliana Rakotoarisaona AU - Fandresena Arilala Sendrasoa AU - Malalaniaina Andrianarison AU - Onivola Raharolahy AU - Naina Harinjara Razanakoto AU - Moril Sata AU - Volatantely Ratovonjanahary AU - Irina Mamisoa Ranaivo AU - Lala Soavina Ramarozatovo AU - Fahafahantsoa Rapelanoro Rabenja Y1 - 2022/09/16 PY - 2022 N1 - https://doi.org/10.11648/j.ijcd.20220501.12 DO - 10.11648/j.ijcd.20220501.12 T2 - International Journal of Clinical Dermatology JF - International Journal of Clinical Dermatology JO - International Journal of Clinical Dermatology SP - 6 EP - 10 PB - Science Publishing Group SN - 2995-1305 UR - https://doi.org/10.11648/j.ijcd.20220501.12 AB - Introduction: Skin manifestations in chronic hemodialysis patients are frequent and polymorphous. The pathogenesis of these skin manifestations is poorly elucidated. The aim of this study was to determine the prevalence and clinical characteristics of these skin lesions and to review the literature on their pathogenesis. Methods: A descriptive multicenter cross-sectional study over 2-month period (November to December 2017) was conducted among chronic hemodialysis patients in 5 dialysis centers in Antananarivo Madagascar. Results: The study included 129 patients, 79 men and 50 women with a mean age of 53.4 years. The average duration of hemodialysis was 32.1 months. All patients presented at least one skin manifestation. Skin xerosis (72.97%), hyperpigmentation (70.54%) and pruritus (58.14%) were the most frequent specific signs of hemodialysis. Other non-specific signs found were acne (10.5%), prurigo (0.7%), ecchymosis (1.55%) and skin infections (10.8%). Only two patients had Kyrle's disease. Exoskeleton abnormalities were found in 44.19% of cases, represented essentially by onychomycosis (50%). According to our study, these cutaneous manifestations were not related to age or gender. Conclusion: Skin manifestations in chronic hemodialysis patients are frequent and deserve to be known by dermatologists. A good management of these conditions can reduce their prevalence and thus improve patient’s quality of life. VL - 5 IS - 1 ER -
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