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SKIN SIGNS IN CKD (SPECIFIC SKIN CHANGES (UP TO ETIOLOGY) (Vasculitits…
SKIN SIGNS IN C
KD
NON SPECIFIC SKIN CHANGES
PIGMENTARY CHANGES
Pallor
Anemia
Hyperpigment
Excessive B-MSH
Slate-grey discoloration
Hemosiderin
Yellow
Deposition of carotenoids and urochromes
NAIL CHANGES
Half-and-half nail
Lindsay nails
Excessive MSH
reddish brown of distal discoloration 20-60% and proximal white discoloration
XEROSIS/ICTHYOSIS
Icthyosiform skin changes
Structure alteration of elastic fiber
Atrophy of eccrine and sweat glands
Loss of S. corneum integrity
Hypervitaminosis
PRURITUS
12-90% of ESRD
Factors
Mast cell proliferation and degranulation
metabolic disequilebrium
hyperparathyroidism
hypercal, hyperphos
increase albumin level
Increase pruritic cytokine
Prurigonodularis
SPECIFIC SKIN CHANGES (UP TO ETIOLOGY)
Diabetic Nephropathy
Sign of DM type II
Lupus Nephritis
Sign of SLE
Scleroderma renal crisis and Hypertension
Scleroderma
IgA Vasculitis
HSP
Vasculitis Glomerulonepritis
Glomerulomatosis and Polyangiitis
Vasculitits
Eosinophillic granulomatosis with polyangiitis
Polyarteritis nodosa
Emboli
Cholesterol emboli
Livedo reticularis
COMPLICATION
SCC
Most frequent
Kaposi Sarcoma
Calciphylaxis
Livedo reticularis
Purpura
Indurated nodules before painful ulceration/necrosis
Nephrogenic fibbrosing dermopathy