Coulibaly N, Traoré B, Tounkara A A, Traoré A M, Coulibaly A Z S
CHU Point G, Service de néphrologie, BP 333 Bamako, Mali.
Centre institut Marchow, dermatologie-vénérologie, Bamako, Mali.
Med Sante Trop. 2019 Feb 1;29(1):102-105. doi: 10.1684/mst.2019.0866.
The purpose of this work is to describe pruritus in chronic hemodialysis patients at the G-University Hospital Center.
This a descriptive cross-sectional study included 30 patients receiving chronic hemodialysis.
Among 90 chronic hemodialysis patients, the study selected 30, including 22 men (73.3%) and 8 women (26.7%), with an average age of 46.60 years (range: 24-82 years). All had pruritus: it was localized in 23.3 % (n=7) and diffuse in 76.7% (n=23). It occurred during dialysis sessions for half of them. It could be nocturnal (50%), diurnal (30%) intermittent (10%), or constant (10%). The dermatological signs associated with pruritus were cutaneous hyperpigmentation in 13.3% of cases, contact eczema in 3.3%, and cutaneous xerosis in 53.3%.
Pruritus is still the most common sign of dermatological conditions in chronic hemodialysis. Treatment remains symptomatic.
本研究旨在描述G大学医院中心慢性血液透析患者的瘙痒情况。
这是一项描述性横断面研究，纳入了30例接受慢性血液透析的患者。
在90例慢性血液透析患者中，本研究选取了30例，其中男性22例（73.3%），女性8例（26.7%），平均年龄46.60岁（范围：24 - 82岁）。所有患者均有瘙痒：23.3%（n = 7）为局限性瘙痒，76.7%（n = 23）为全身性瘙痒。其中一半患者的瘙痒发生在透析过程中。瘙痒可能为夜间发作（50%）、日间发作（30%）、间歇性发作（10%）或持续性发作（10%）。与瘙痒相关的皮肤体征中，13.3%的病例有皮肤色素沉着，3.3%有接触性湿疹，53.3%有皮肤干燥。
瘙痒仍是慢性血液透析患者最常见的皮肤症状。治疗仍以对症治疗为主。
