The Spectrum of Nail Disorders in Patients With End-Stage Renal Disease Undergoing Conservative Treatment: A Case-Control Study  

作　　者：Mazin MT Shigidi 

机构地区：[1]Department of Internal Medicine,College of Medicine,Jouf University,Al Jouf 72388,Saudi Arabia [2]Nephrology Division,Department of Medicine,Baraha Medical City,Khartoum North Khartoum State 13311,Sudan

出　　处：《International Journal of Dermatology and Venereology》2024年第3期150-154,共5页国际皮肤性病学杂志（英文）

摘　　要：Objective:Various nail disorders have been reported in patients with chronic kidney disease.However,few studies have investigated nail disorders in patients with advanced chronic kidney disease.This study focused on nail disorders seen in patients with end-stage renal disease(ESRD)undergoing conservative treatment.Methods:A case-control study was conducted at Baraha Medical City in Khartoum State,Sudan.Data on patients with ESRD who were on conservative treatment and presented for follow-up between March and September 2021 were collected.Patients’demographic features,nail findings on clinical examination,and laboratory results were recorded.The obtained data were compared with those on age-and sex-matched healthy individuals from the general population.The chi-square test and Student t test were performed to analyze categorical and numerical variables,respectively.Results:Data on 78 patients with ESRD were studied.Their mean age was 54.6±17.6 years,and 45(57.7%)were men.These patients were compared with 129 controls.Nail disorders were seen in 65(83.3%)ESRD patients and 86(66.6%)controls(P=0.009).Patients with ESRD were found to be at increased relative risk of developing a wide spectrum of nail disorders.An absent lunula,half-and-half nails,nail dystrophy,Terry’s nails,onychomycosis,and koilonychia were the most common disorders and were seen in 44(56.4%),13(16.7%),10(12.8%),9(11.5%),6(7.7%),and 5(6.4%)patients,respectively.Patients with ESRD had a statistically significant risk of developing above diseases(all P<0.05).Conclusion:The current study demonstrated a wide spectrum of nail disorders in patients with ESRD undergoing conservative treatment.Further studies are essential to understand their pathogenesis.

关 键 词：end-stage renal disease chronic kidney disease nail disorders disease spectrum 

分 类 号：R692.5[医药卫生—泌尿科学] R758.72[医药卫生—外科学]