Abstract:
Although several studies show the prevalence of podiatric conditions in people with end-stage renal disease or renal replacement therapy with hemodialysis, there is little scientific literature on this when subjects are undergoing kidney transplantation. The aim of this study is to determine the prevalence of podiatric skin and nail pathology in renal transplant recipients. A descriptive, observational, prevalence study was conducted at the Nephrology Department of the University Hospital of A Coruña. A total of 371 subjects were studied. The variables studied were sociodemographic (age, sex), anthropometric (Body Mass Index), comorbidity (Charlson Comorbidity Index), and podological (skin and nail alterations). A high presence of skin (83.1%) and nail pathology (85.4%) was observed, with hyperkeratosis (68.8%), onychogryphosis (39.4%), and onychocryptosis (36.9%) being the most predominant alterations. Although it was not significant, patients with a higher risk of presenting podiatric pathology were of female sex and had a high BMI, and both age and the Charlson comorbidity index were significantly associated with this risk. There was an increased risk of both skin and nail pathology at older age and in the presence of diabetes mellitus.
摘要:
尽管一些研究表明终末期肾病或血液透析肾脏替代疗法患者的足病患病率,当受试者接受肾脏移植时,这方面的科学文献很少。这项研究的目的是确定肾移植受者中足病皮肤和指甲病理学的患病率。描述性的,观察,患病率研究在ACoruña大学医院肾内科进行.共研究了371名受试者。研究的变量是社会人口统计学(年龄,sex),人体测量(身体质量指数),合并症(Charlson合并症指数),和Podology(皮肤和指甲改变)。观察到皮肤(83.1%)和指甲病理(85.4%)的高存在,角化过度(68.8%),甲癣(39.4%),和甲癣(36.9%)是最主要的改变。虽然意义不大,出现足病病理风险较高的患者为女性,BMI较高,年龄和Charlson合并症指数均与该风险显著相关.在年龄较大和存在糖尿病的情况下,皮肤和指甲病理学的风险都增加。