Dahbi Noama, Hocar Ouafa, Akhdari Nadia, Amal Said, Bassit Nora, Fadili Wafaa, Laouad Inas
Service de dermatologie, faculté de médecine et de pharmacie, université Cadi Ayyad, centre hospitalier universitaire Mohammed VI, Marrakech, Maroc.
Service de dermatologie, faculté de médecine et de pharmacie, université Cadi Ayyad, centre hospitalier universitaire Mohammed VI, Marrakech, Maroc.
Nephrol Ther. 2014 Apr;10(2):101-5. doi: 10.1016/j.nephro.2013.10.008. Epub 2014 Feb 5.
Hemodialysis patients have frequent and various cutaneous manifestations of often hypothetical pathogenesis. Chronic renal failure (CRF) presents with an array of cutaneous manifestations. The objective was to evaluate the prevalence and nature of cutaneous lesions associated with CRF patients on hemodialysis patients.
Transversal and observational study of 53 patients with CRF on regular hemodialysis.
There were 28 women and 25 men. Their mean age was 44 year-old. All patients had cutaneous manifestations and 64% complained of dermatological signs. Cutaneous xerosis and pigmentation disorders were found in 96 and 94% of patients, respectively. Other manifestations were pallor (41%), pruritus (20.7%), a diffuse hair loss (35.8%) and nails changes (66%).
Cutaneous manifestations in hemodialysis patients are frequent polymorphous. Their incidence varies from 50 to 100% of the series. Their knowledge deserves a proper management by both dermatologists and nephrologists to improve the life quality of hemodialysis patients.
血液透析患者常有多种皮肤表现，其发病机制往往具有推测性。慢性肾衰竭（CRF）会出现一系列皮肤表现。目的是评估血液透析患者中与CRF相关的皮肤病变的患病率和性质。
对53例接受定期血液透析的CRF患者进行横断面观察研究。
有28名女性和25名男性。他们的平均年龄为44岁。所有患者均有皮肤表现，64%的患者主诉有皮肤病体征。分别在96%和94%的患者中发现皮肤干燥和色素沉着紊乱。其他表现包括面色苍白（41%）、瘙痒（20.7%）、弥漫性脱发（35.8%）和指甲改变（66%）。
血液透析患者的皮肤表现常见且多样。在该系列研究中，其发生率在50%至100%之间。皮肤科医生和肾病科医生都应对其有所了解，以便进行适当管理，从而提高血液透析患者的生活质量。
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