CLINICOEPIDEMIOLOGICAL STUDY OF RENOCUTANEOUS DISORDER A PROSPECTIVE STUDY

Dr.Kalle Gouthami Sree; Dr.I.Chandrasekhar Reddy; Dr.P.N.Jikki

Volume : VI, Issue : III, March - 2016

CLINICOEPIDEMIOLOGICAL STUDY OF RENOCUTANEOUS DISORDER A PROSPECTIVE STUDY

Dr. Kalle Gouthami Sree, Dr. I. Chandrasekhar Reddy, Dr. P. N. Jikki

Abstract :

 Introduction: The majority of dermatological disorders in Chronic Kidney Disease are relatively benign and few rare skin diseases have potential to cause severe morbidity and mortality like uremic pruritus , calcific uremic arteriolopathy and nephrogenic systemic fiosis. Early recognition of these severe skin disorders and prompt initiation of treatment can dramatically alter the course and even save a patient’s life. The pathogenesis of cutaneous manifestations in CKD is multifactorial. Objectives: The present study was carried out to know the prevalence of cutaneous manifestations in relation to kidney diseases and in relation to age, sex and basic disease, systemic disorders like Diabetes, Hypertension , SLE ,Scleroderma , Amyloidosis etc. Study design: 50 Clinically diagnosed cases of renal disease with cutaneous manifestations attending to dermatology and nephrology departments were included in this study. In all the patients the type of underlying renal disease , duration of the disease, stage of renal disease was identified and the type of cutaneous manifestations were studied. Results : A total of 50 patients were studied. Majority patients with cutaneous lesions had chronic kidney disease than acute renal disease. The study compared cutaneous manifestations in CKD in relation to age, sex, type and duration of kidney disease and type of cutaneous lesions. All the 50 patients showed at least one cutaneous manifestation. Conclusion: The cutaneous manifestations were proportional to the severity of chronic kidney disease. Non–infectious skin manifestations like xerosis, Pruritus and anemia and nail changes like koilonychias, half and half nail were more common than infections.