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noticed skin changes in 79% of patients. Our study was conducted to determine the prevalence of cutaneous alterations in CRF patients on hemodialysis.
One hundred successive patients of CRF undergoing hemodialysis were examined for cutaneous manifestations in a tertiary hospital.
Nine patients had a hemoglobin level of less than 5 g%, 58 had 5.1-8 g% and 30 had more than 8 g%.
Eleven patients (6 male and 5 female) were HBs Ag positive; one patient was HCV positive and one HEV positive.
One hundred patients (70 males and 30 females) were examined. In: Freedberg IM, Eisen AZ, Wolff K, Austen KF, Goldsmith LA, Katz SI, editors.
Most of them were aged between 41 and 50 years; the youngest patient was aged 10 years and the oldest, 76 years.
The nail changes included half and half nail (21%), koilonychia (18%), onychomycosis (19%), subungual hyperkeratosis (12%), onycholysis (10%), splinter hemorrhages (5%), Mees' lines (7%), Muehrcke's lines (5%) and Beau's lines (2%). In: Isselbacher KJ, Braunwald E, Wilson JD, Martin JB, Fauci AS, Kasper DL, editors.
Hair changes included sparse body hair (30%), sparse scalp hair (11%) and brittle and lusterless hair (16%).
The commonest are xerosis and pruritus and the early recognition of cutaneous signs can relieve suffering and decrease morbidity.
Routine investigations for monitoring renal functions were recorded.
The severity of xerosis was assessed by a modified version of the grading by Morton: grade 0 (smooth skin), grade 1 (rough skin) and grade 2 (rough skin with scaling).
Background: Chronic renal failure (CRF) presents with an array of cutaneous manifestations.
Newer changes are being described since the advent of hemodialysis, which prolongs the life expectancy, giving time for these changes to manifest.
Results: Eighty-two per cent patients complained of some skin problem.