The skin in renal disease

The skin in renal disease

The main changes are the following.

1 Pruritus and a generally dry skin.

2. Pigmentation. A yellowish sallow colour and pallorfrom anaemia.

3  Half-and-half nail. The proximal half is white andthe distal half is pink or brownish.

4 ‘Perforating disorders’. Small papules in which col-lagen or elastic fibres are being extruded through the epidermis.

5  ‘Pseudoporphyria’.

6 The skin changes of the conditions leading torenal disease. For example, leucocytoclastic vasculitis, connective tissue disorders , Fabry’s disease.