Hemodiyaliz Tedavisine Devam Eden Hastalarda Cilt Lezyonlarının Sıklığı ve İlişkili Faktörler: Tek Merkez Deneyimi

Amaç: Bu çalışmada diyaliz tedavi programındaki hastalarda cilt lezyonlarının sıklığını, cilt lezyonlarının tedavi süresi, diyaliz yeterliliği, altta yatan hastalık ile ilişkisinin varlığını saptamayı amaçladık. Gereç ve Yöntemler: Çalışmaya 244 hemodiyaliz hastası dâhil edildi. Hastalar aylık muayeneleri yapılırken gönüllü dermatoloji uzmanı tarafından muayene edildi. Veriler dosyalarından retrospektif olarak kaydedildi. Bulgular: Çalışmaya yaş ortalaması 58±18.2 olan 244 (%58 erkek, % 42 kadın) hasta alındı. Ortalama hemodiyaliz tedavi süresi 4.2 yıldı. En sık cilt bulgusu kserozis olup hastaların %60.6’sında mevcuttu. Diğer sık görülen cilt bulguları ise sıklık sırası ile pruritis (%53), kıllarda azalma (%49.5), saç değişiklikleri (%47.9), tırnak değişiklikleri (%42.5), ekzema (%20.9) ve hiperpigmentasyon (%8.6) olarak saptandı. Kserozis sıklığı diyabetik hasta grubunda non-diyabetik hastalara göre daha fazlaydı (p

Anahtar Kelimeler:

Cilt, Hemodiyaliz, Kronik böbrek yetmezliği, Saç, Tırnak

Skin Changes, Frequencies and Associated Factors in Maintanence Hemodialysis Patients: Single Center Experience

Objective: In this study, we aimed to evaluated to the prevalance of skin lesions among patients with undergoing hemodialysis and to determine their relations with dialysis adequacy, time of hemodialysis and co-morbid diseases. Material and Methods: Two hundred forty four hemodialysis patients were included in the study. Patients was examined by a volunteer dermatologist during their monthly pyhsical examinations. All other data were recorded retrospectively from hospital record system. Results: The patients were 102 (42%) women and 142 (58%) men with a mean age of 58.0±18.2 years. The median duration of hemodialysis was 4.2 years. The most common skin finding was xerosis, which was present in 60.6% of the patients. Other common skin findings were pruritis (53%), hair reduction (49.5%), hair changes (47.9%), nail changes (42.5%), eczema (20.9%), and hyperpigmentation (8.6%), in order of frequency. Xerosis was more commonly found in diabetic patients than non-diabetic. (p

Keywords:

Chronic renal failure, Hair, Hemodialysis, Nail, Skin,

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