INTERNATIONAL ARCHIVES OF MEDICINE
SECTION: DERMATOLOGY
ISSN: 1755-7682
International
Medical Society
http://imedicalsociety.org
1
2017
Vol. 10 No. 178
doi: 10.3823/2448
© Under License of Creative Commons Attribution 3.0 License This article is available at: www.intarchmed.com and www.medbrary.com
Abstract
Background: The etiopathogenesis of uremic pruritus (UP) is mul-
tifactorial aspect, and it is thus necessary to elucidate its associated
factors to develop efficient therapeutics approaches. This study aimed
to verify the prevalence of UP and its associated factors.
Methods and Findings: Prospective and cross-sectional study with
patients undergoing hemodialysis at a university public hospital. The
data were obtained between April 2014 and April 2015. The statisti-
cal analysis was carried out using multivariate regression models, and
statistical significance was set at p<0.05. A total of 164 patients were
included, and pruritus was reported in 64 (39%). In the multivariate
analysis, a higher creatinine level was risk factor for pruritus (β=1.09,
95% CI 1.00-1.19; p=0.048), as was a lower level of hemoglobin
(β=0.85, 95% CI 0.73-0.99; p=0.043). Dyslipidemia (β=1.52, 95% CI
0.12-2.91; p=0.03), obesity (β=2.40, 95% CI 1.03-3.78; p=0.001), hig-
her levels of C-reactive protein (β=0.26, 95% CI 0.19-0.34; p<0.001)
and black race (β=1.49, 95% CI -2.57 and 0.42; p<0.006) were as-
sociated with a greater intensity of pruritus. The use of a high-flux
dialyzer was associated with a lower intensity of pruritus (β=-1.69,
95% CI -3.05-0.34; p=0.01).
Conclusion: Uremic pruritus has a high prevalence in hemodialysis
patients, and the data suggest that the higher the creatinine and the
lower the hemoglobin levels are, the greater the risk of developing
pruritus is. Dyslipidemia, obesity, and higher levels of C-reactive protein
were associated with a greater intensity of pruritus, whereas the use
of a high-flux dialyzer was associated with lower pruritus intensity.
Factors Associated with Uremic Pruritus
ORIGINAL
Mariele Gobo-Oliveira
1
,
Vitória G. Pigari
2
,
Matheus S.P. Ogata
2
,
Hélio A. Miot
2
,
Daniela Ponce
3
,
Luciana P.F. Abbade
2
1 Department of Nursing, Dialysis Unit,
Botucatu Medical School, São Paulo
State University (UNESP).
2 Department of Dermatology and
Radiotherapy, Botucatu Medical School,
São Paulo State University (UNESP).
3 Department of Medical Clinic,
Nephrology, Botucatu Medical School,
São Paulo State University (UNESP).
Contact information:
Luciana Patrícia Fernandes Abbade.
Address: Campus Universitário de Rubião
Jr. CEP: 18618-970. Botucatu, SP, Brasil.
Tel: +55(14) 38801259.
lfabbade@fmb.unesp.br
Keywords
Cutaneous Manifestations
of Systemic Disease; General
Dermatology; Internal Disease
Associated with Dermatology.
Introduction
Uremic pruritus (UP) is one of the most common symptoms observed
in patients with stage 5D chronic kidney disease (CKD). Its prevalence