Prevalencia de las manifestaciones dermatológicas en los pacientes con insuficiencia renal crónica con y sin hemodiálisis en el Hospital Luis Vernaza. Noviembre del 2011 - abril del 2012.

Abstract

Objective: To determine the prevalence of dermatological manifestations in patients with chronic renal failure (CRF) with and without hemodialysis, at Luis Hospital Vernaza (HLV) from November 2011 to April 2012. Study Design: Observational, cross-sectional, included patients with terminal CRF on hemodialysis at least 1 month, and those with CKD stages 2 to 5 without hemodialysis. Patients with a history of peritoneal dialysis and failed kidney transplantation were excluded. The variables were sex, age, duration of disease, stage of CKD, hemodialysis time, specific and nonspecific cutaneous manifestations, serum calcium and phosphorus. Elements of descriptive and inferential statistics were used for statistical analysis. Results: Of 114 patients, 53 were receiving hemodialysis (46,49%) and 61 (53,50%) did not. Of the total, 93,86% had one or more nonspecific dermatological manifestations (most common: 60, 53% xerosis, pallor 46, 4%, 39,47% and pruritus hyperpigmentation 36,8%), being more frequent in hemodialysis that in non-hemodialysis (100% vs. 88,52%). In non-hemodialysis, dermatological manifestations are more common with increasing age (p = 0,024). Pruritus was not associated with elevated levels of serum calcium and phosphorus. Conclusions: The patients analyzed in our study had more than one dermatological manifestation, with a greater frequency in hemodialysis patients than in those who did not receive this treatment, although no statistically significant difference in most of the variables analyzed.