Evaluation of Dermatological Findings in Hemodialysis Patients

Aim: Chronic kidney disease is an increasing global public health concern.Hemodialysis is the most commonly utilized replacement therapy for end-stage renal disease.Common dermatological complications in hemodialysis patients, such as pruritus, xerosis, and nail or mucosal changes, significantly impair quality of life.This study aims to assess the prevalence and characteristics of these dermatological findings in hemodialysis patients. Materials and Methods:This cross-sectional study was carried out between September 20 and November 20, 2020, in a city in Eastern Trkiye.A total of 132 hemodialysis patients underwent a detailed dermatological examination.All pathological dermatological findings were documented, and their associations with comorbidities, duration of hemodialysis, frequency of hemodialysis, and age were evaluated.Results: At least one dermatological finding was detected in all cases among the 132 patients included in the study (mean age: 58.06 years; 48.5% female).Pruritus was observed in 36.4% of the patients, while xerosis was noted in 50%.Nail changes were recorded in 60.6% of the patients.Among oral mucosal findings, the most common were xerostomia (28%) and oral candidiasis (18.2%).Pigmentation disorders were identified in 39.4% of the patients, whereas 38.6% exhibited local complications at the fistula site.Advanced age was significantly associated with a higher prevalence of pruritus (p=0.003),xerosis (p=0.039), and oral candidiasis (p=0.008). Conclusion:Dermatological findings are common and diverse in hemodialysis patients.Pruritus, xerosis, and oral candidiasis significantly increase with aging, highlighting the need for targeted dermatological care.These findings underscore the importance of regular dermatological evaluations to improve patient outcomes and quality of life.