Disturbed skin barrier in children with chronic kidney disease

Elzbieta Wojtowicz-Prus1, Katarzyna Kilis-Pstrusinska, Adam Reich

  • 1Department of Dermatology, Regional Specialist Hospital, Center for Research and Development, Wroclaw, Poland.

Insights

Children with chronic kidney disease (CKD) frequently experience dry skin (xerosis). This skin barrier issue worsens with disease progression, particularly in those on dialysis.

Area of Science:

  • Pediatric Nephrology
  • Dermatology
  • Renal Medicine

Background:

  • Limited data exists on skin manifestations in pediatric end-stage renal failure.
  • Skin barrier dysfunction, specifically xerosis, is a concern in children with chronic kidney disease (CKD).

Purpose of the Study:

  • To evaluate the skin barrier in children across different stages of CKD.
  • To determine the prevalence and severity of xerosis in pediatric CKD patients.
  • To investigate the association between xerosis and demographic factors.

Main Methods:

  • Included 103 children: 72 with CKD (stages 3-5, conservative treatment or dialysis) and 31 controls.
  • Assessed xerosis via self-reporting, clinical evaluation, corneometry, and transepidermal water loss measurements.
  • Correlated skin dryness with age, sex, primary kidney disease, and CKD duration.

Main Results:

  • The majority of pediatric CKD patients reported dry skin.
  • Xerosis was significantly more prevalent in children on dialysis (67.6%) compared to those on conservative treatment (42.1%).
  • No significant differences in age, sex, or CKD duration were found between patients with and without skin dryness.

Conclusions:

  • Impaired skin barrier function is a significant issue in pediatric CKD, worsening as the disease advances.
  • Xerosis is present even in early stages of CKD and requires consideration in patient management.
  • Monitoring and managing skin health is crucial for children with chronic kidney disease.
Abstract

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