Introduction: Cutaneous manifestations in chronic renal failure (CRF) patients undergoing hemodialysis are indicative of underlying pathology but are understudied, particularly in low- and middle-income countries. This study aims to assess the prevalence and patterns of cutaneous manifestations in CRF patients undergoing hemodialysis.
Methods: An observational cross-sectional study was conducted over 18 months in a tertiary care hospital’s Dialysis Unit. A total of 105 CRF patients undergoing hemodialysis were included. Data on demographics, comorbidities, blood parameters, and cutaneous manifestations were collected and analyzed using appropriate statistical methods.
Results: The mean age of participants was 47.53 years, with 39% aged 41-50 years. Diabetes (85.71%) and hypertension (83.8%) were the most prevalent comorbidities. Pruritus (66.67%) and xerosis (49.52%) were the most common cutaneous manifestations. Pallor (38.09%) and acquired perforating dermatosis (15.24%) were also notable. Nail changes (30.48%) and mucosal changes (20.95%) were observed, along with various infections.
Conclusion: Diabetes and hypertension were the predominant etiologies of CRF, with pruritus and xerosis showing positive correlation with CKD duration. Pallor and acquired perforating dermatosis were prevalent, especially in diabetic patients.