Diagnosis of Common Dermopathies in Dialysis Patients: A Review and Update
Identifieur interne : 001405 ( Main/Exploration ); précédent : 001404; suivant : 001406Diagnosis of Common Dermopathies in Dialysis Patients: A Review and Update
Auteurs : Alina Markova [États-Unis] ; Jenna Lester [États-Unis] ; Joanne Wang [États-Unis] ; Leslie Robinson-Bostom [États-Unis]Source :
- Seminars in Dialysis [ 0894-0959 ] ; 2012-07.
Abstract
Cutaneous abnormalities in patients with end‐stage renal disease (ESRD) receiving hemodialysis or peritoneal dialysis may demonstrate signs of their underlying condition or reveal associated disease entities. While a thorough examination of the scalp, skin, mucosa, and nails is integral to establishing a diagnosis, certain conditions will resolve only with dialysis or improvement of their renal disease and others may not require or respond to treatment. Half and half nails, pruritus, xerosis, and cutaneous hyperpigmentation are common manifestations in ESRD. With hemodialysis, uremic frost is no longer prevalent in ESRD patients and ecchymoses have decreased in incidence. Acquired perforating dermatoses are seen in over one‐tenth of hemodialysis patients. Metastatic calcinosis cutis and calciphylaxis are both rarely reported, although the latter is seen almost exclusively in the setting of hemodialysis. Diagnosis of nephrogenic systemic fibrosis has historically been challenging; as such, new diagnostic criteria have been proposed. Blood porphyrin profiles are needed to differentiate between porphyria cutanea tarda and pseudoporphyria. We will review and provide an update on the aforementioned common cutaneous manifestations of ESRD in patients receiving dialysis.
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DOI: 10.1111/j.1525-139X.2012.01109.x
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While a thorough examination of the scalp, skin, mucosa, and nails is integral to establishing a diagnosis, certain conditions will resolve only with dialysis or improvement of their renal disease and others may not require or respond to treatment. Half and half nails, pruritus, xerosis, and cutaneous hyperpigmentation are common manifestations in ESRD. With hemodialysis, uremic frost is no longer prevalent in ESRD patients and ecchymoses have decreased in incidence. Acquired perforating dermatoses are seen in over one‐tenth of hemodialysis patients. Metastatic calcinosis cutis and calciphylaxis are both rarely reported, although the latter is seen almost exclusively in the setting of hemodialysis. Diagnosis of nephrogenic systemic fibrosis has historically been challenging; as such, new diagnostic criteria have been proposed. Blood porphyrin profiles are needed to differentiate between porphyria cutanea tarda and pseudoporphyria. We will review and provide an update on the aforementioned common cutaneous manifestations of ESRD in patients receiving dialysis.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Rhode Island</li></region></list><tree><country name="États-Unis"><region name="Rhode Island"><name sortKey="Markova, Alina" sort="Markova, Alina" uniqKey="Markova A" first="Alina" last="Markova">Alina Markova</name></region><name sortKey="Lester, Jenna" sort="Lester, Jenna" uniqKey="Lester J" first="Jenna" last="Lester">Jenna Lester</name><name sortKey="Robinson Ostom, Leslie" sort="Robinson Ostom, Leslie" uniqKey="Robinson Ostom L" first="Leslie" last="Robinson-Bostom">Leslie Robinson-Bostom</name><name sortKey="Wang, Joanne" sort="Wang, Joanne" uniqKey="Wang J" first="Joanne" last="Wang">Joanne Wang</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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