Dermoscopic Evaluation of Nail Changes in Patients with End-Stage Renal Disease on Regular Hemodialysis.

IF 1.4 Q3 DERMATOLOGY
Skin Appendage Disorders Pub Date : 2025-04-01 Epub Date: 2024-09-09 DOI:10.1159/000539924
Sara A Galal, Hend G Kotb, Radwa O M Kamel, Hala M Elsadek, Hala S A Hafiz, Eman M Nassef, Sammar A Kasim, Samah M Akab, Ahmed S Abdel Sattar, Laila A Ahmed
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引用次数: 0

Abstract

Introduction: Chronic renal failure can impact various body systems, including the skin and its appendages. Patients with uremic conditions have been observed to experience a variety of nail changes. This study was conducted to evaluate the presence and type of fingernail changes in patients with end-stage renal failure (ESRF) on regular hemodialysis (HD) by nail dermoscopy.

Methods: A total of 100 patients with ESRF on regular HD three times a week. Nails were examined by dermoscopy for the presence of subtle nail changes.

Results: Nail changes were found in 91% of patients, while 9% did not have nail changes. The most common dermoscopic findings were as follows; scales in lateral nail fold in 91% of the patients, dry cuticle in 84%, onychoschizia in 72%, and longitudinal striation in 69%. There was no significant relation between nail changes and sex, duration of HD, and albumin level.

Conclusion: Patients with end-stage renal disease on HD are more likely to experience nail disorders. Scales in LNF, dry cuticle, onychoschizia, longitudinal striation, terry's nails, and half-and-half nails were the most common nail changes in HD patients.

皮肤镜下对定期血液透析的终末期肾病患者指甲变化的评价。
慢性肾衰竭会影响身体的各个系统,包括皮肤及其附属器官。尿毒症患者的指甲会发生各种变化。本研究旨在通过指甲皮肤镜评估定期血液透析(HD)的终末期肾衰竭(ESRF)患者指甲变化的存在和类型。方法:共100例定期HD的ESRF患者,每周3次。通过皮肤镜检查指甲是否有细微的变化。结果:91%的患者有甲改变,9%的患者无甲改变。最常见的皮肤镜检查结果如下:91%的患者有侧甲褶皱鳞片,84%的患者有角质层干燥,72%的患者有甲裂,69%的患者有纵向条纹。指甲变化与性别、HD病程、白蛋白水平无明显关系。结论:HD患者终末期肾脏疾病更容易出现指甲紊乱。足底鳞片、干角质层、甲裂、纵纹、特里氏甲、半甲是HD患者最常见的甲变。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.00
自引率
10.00%
发文量
69
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