Table of Contents

2017 Month : April Volume : 3 Issue : 1 Page : 1-3

NAIL CHANGES IN CHRONIC KIDNEY DISEASE PATIENTS UNDERGOING HAEMODIALYSIS.

Anand Sharma1, Shivi Nijhawan2, Manisha Nijhawan3, Arvind Verma4, Savita5, Shubhra6

Corresponding Author:
Dr. Anand Sharma,
Dr. Murari Nursing Home,
College Road, Nangal Choudhary,
Mohindergarh, Haryana.
E-mail: anandsharma32866@gmail.com

ABSTRACT

BACKGROUND

Chronic kidney disease is defined as evidence of kidney damage over a period of 3 months with or without reduction of glomerular filtration rate revealed by clinical assessment, abnormal urinary finding, abnormal renal imaging or histologically proven disease. CKD is known to be associated with various nail pathologies. They may be related to the renal condition itself or its complication or due to therapy.

The aim was to study the frequency and spectrum of various nail changes in CKD patients undergoing haemodialysis.

MATERIALS AND METHODS

This study was conducted over a period of 6 months from May 2016 to Nov 2016 in a tertiary health care centre of Rajasthan. Total 100 patients of CKD undergoing haemodialysis were examined for nail changes like nail dyschromia, absent lunula and others.

RESULTS

In our study, most common finding was nail dyschromia (49%) comprising various colours like brown, black, yellowish discolouration of nail plate followed by longitudinal melanonychia (44%). Other findings were absent lunula (35%), subungual hyperkeratosis (32%) and onycholysis (28%). Males (84%) were affected more than females (16%) and most of our patients were in age group of >40 years (41%).

CONCLUSION

We conclude that various nail changes are observed in haemodialysis patients and these findings emphasise the significance of nail assessment as a part of physical examination in Haemodialysis patients.

KEYWORDS

Chronic Kidney Disease, Haemodialysis, Nail Changes, Dyschromia.

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