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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
PREVELANCE OF UREMIC PRURITUS AMONG CHRONIC RENAL FAILURE PATIENTS WHO ARE ON HEMODIALYSIS – A CASE REPORT
Author
R. Aravind Kumar*1, Ushaskehar2, Baskaran3, Appandraj4
Email
arvindr84@gmail.com
keyword
Uremic pruritus, Hemodialysis, Tropical treatment, Systemic Treatments.
Abstract
Uremic pruritus (UP) is also called as chronic kidney disease associated pruritus .Pruritus, or itch, is a common problem for patients with chronic renal failure. However recent survey including the dialysis outcomes and practice pattern study has assessed that more than 42-50% of the hemodialysis patients affected by uremic pruritus (UP) .The statistics shows that (UP) remains an important clinical symptom and health issue in CKD patients. Among the dermatological abnormalities associated with end stage renal disease uremic pruritus is most prevalent and common among all the patients who are under hemodialysis. It is a distressing symptom which has a role in reducing the quality of life among hemodialysis patients. The primary cause for (UP) among the hemodialysis patient is uraemia, electrolyte imbalance, skin mast cell proliferation, and hyperthyroidism and iron deficiency anaemia. The site which is commonly affected by the (UP) is back of limbs, chest and back of neck regions. UP often leads to mechanical skin damage as a result of continuous scratching the superficial skin with excoriations and super imposed infections. Heat stress, hyperhydrosis showers aggravate the symptoms of (UP).The occurrence, duration and intensity of (UP) has diurnal variations as that symptoms become worse in night time. The adverse effect of (UP) includes abdominal discomfort, anxiety, depression and insomnia. Prolonged insomnia causes fatigue which influences the resist of mental and physical activity. Recommended remedies far (UP) include optimization of frequency of dialysis, regular Epo-dosage, discarding the dialyzer in 4-5th use.
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