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Published on: October 2, 2020
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Risk of Skin Diseases in Maintenance Hemodialysis
A Ankudowicz1, E Król2, A Dębska-Ślizień2
1Department of Dermatology, Regional Hospital of Elblag, Elblag, Poland.
Transplantation Proceedings
|July 31, 2018
Summary
Routine dermatological exams are crucial for hemodialysis (HD) patients, identifying skin infections and precancerous lesions before kidney transplantation. Early detection ensures patient safety and suitability for transplant.
Area of Science:
- Dermatology
- Nephrology
- Transplantation
Background:
- Maintenance hemodialysis (HD) patients are candidates for kidney transplantation.
- Skin neoplasms and infections are prevalent concerns in kidney transplant recipients.
- Routine dermatological assessment, including dermatoscopy, is recommended for HD patients, particularly those awaiting transplant.
Purpose of the Study:
- To assess the incidence of skin diseases in HD patients.
- To compare dermatological findings between HD patients and those on the transplant waiting list.
- To evaluate the necessity of dermatological examinations for HD patients.
Main Methods:
- A cohort of 105 HD patients (89 on maintenance, 16 on waiting list) underwent skin condition assessment and dermatoscopic examination.
- Incidence of bacterial, fungal, and viral infections was recorded.
- Prevalence of malignant and precancerous skin lesions was analyzed.
Main Results:
- HD patients exhibited higher rates of skin infections (bacterial 24.7%, fungal 14.6%, viral 6.7%) compared to those on the waiting list (bacterial 12.5%).
- Malignant and precancerous skin lesions (basal cell carcinoma, actinic keratosis) were found in 4.5% and 3.4% of HD patients, respectively; none were observed in the waiting list group.
- A significant majority of HD patients (67.4%) required dermatological care, versus only 12.5% of those on the waiting list.
Conclusions:
- Dermatological examinations are essential for HD patients to detect and manage skin conditions.
- Undiagnosed or untreated skin lesions in HD patients may pose risks post-transplantation.
- Proactive dermatological screening supports appropriate patient qualification for kidney transplantation.
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