Related Experiment Video
Updated: Apr 25, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
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.
Background:
There are limited data on skin lesions in children with end-stage renal failure. The aim of the study was an evaluation of the skin barrier in children with different stages of chronic kidney disease (CKD). The prevalence of xerosis, its severity, as well as its link selected demographic factors, were examined.
Methods:
The study included 103 children: 72 with CKD stages 3-5 (38 on conservative treatment and 34 on dialysis) and 31 patients with primary monosymptomatic nocturnal enuresis as a control group. Initially, the study subjects described the localisation and severity of dry skin by themselves. Next, clinical evaluation of xerosis, non-invasive corneometric assessment of epidermis moisturising and the measurement of transepidermal water loss were performed.
Results:
Most CKD children reported dry skin. The problem of xerosis was identified more frequently in patients on dialysis (67.6 %) than on conservative treatment (42.1 %) (p = 0.01). CKD patients divided according to skin dryness did not differ with regards to age, sex, initial kidney disease and CKD duration.
Conclusions:
Disturbed skin barrier is an important concern of children with CKD, intensifying as the disease progresses. This symptom occurs on early stages of CKD and it should be taken into consideration in the CKD management.
More Related Videos
Related Concept Videos
Chronic Kidney Disease II: Clinical Manifestations
Chronic Kidney Disease I: Introduction
Chronic Kidney Disease III: Interprofessional Care
Nephrons
Chronic Kidney Disease IV: Nursing Management
Acute Kidney Injury V: Interprofessional Care

