Uremic Pruritus
Patient itchy
Uremic Pruritus
Other Causes
Prevalence
Over 40% of medium and severe(DOPPS)
Causes
2 main streams
Chronic inflammation
u opium receptor overexpress
inflammatory mediators
CRP
IL2
IL6
Ferritin
Low albumin
Underdialysis
Ca /P imbalance
high serum Al or Mg
biocompatibility of dialyzer/ bloodline/heparin
hypersensitive
Dry skin
HCV patient
Summary
1 out of 8 causes by chronic inflammation
3 out of 8 causes due to dialysis