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- Title
Obraz kliniczny świądu mocznicowego u chorych dializowanych.
- Authors
Myśliwiec, Hanna; Flisiak, Iwona; Myśliwiec, Piotr; Myśliwiec, Michał; Chodynicka, Bożena
- Abstract
Introduction: Uremic pruritus (UP) is a common problem among chronically dialyzed patients. Despite numerous studies, pathogenesis of UP remains unclear. Presumably many factors are implicated, which gives diversified clinical picture. Aim: comparison of prevalence, intensity and clinical features of uremic pruritus in hemodialyzed patients and those treated with chronic ambu- latory peritoneal dialysis (CAPD), as well as assessment of influence of dialysis parameters, results of biochemical and hematological analyzes on UP. Material and methods: 58 hemodialyzed and 48 CAPD patients were enrolled in the study. A questionnaire was used for assessment of UP. Results: hemodialyzed patients suffered from UP more frequently than CAPD group (76.5% vs 54.2%, p<0.05). Also intesity of UP and sleep di- sturbances due to pruritus had greater values in hemodialyzed patients (p<0.01). There was no significant relation between presence and inten- sity of UP and such factors as: age of patients, duration of dialyses, primary nephropathy, parameters of dialysis or results of laboratory examina- tions. Hemodialyzed patients taking β-blockers signifantly more frequently suffered from UP of greater severity. Conclusions: UP is still an important problem of a high proportion of dialyzed patients. Those treated with hemodialyses suffer from UP more often, its intensity is greater and it disturbes sleep more often than in CAPD patients. The use of β-blockers might have an impact on prevalence and intensity of UP in hemodialyzed patients.
- Subjects
UREMIA; ITCHING; HEMODIALYSIS patients; DISEASE prevalence; CONTINUOUS ambulatory peritoneal dialysis
- Publication
Clinical Dermatology / Dermatologia Kliniczna, 2007, Vol 9, Issue 4, p213
- ISSN
1730-7201
- Publication type
Article