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