Dr Hira Iqbal, Dr Shabnam Rustamani, Dr Reham Baig
Aim: To identify the different characteristics of uremic pruritus in patients undergoing hemodialysis. Study design: A case series Study location and duration: This study was conducted at the Department of Nephrology and Dermatology of Jinnah Hospital Lahore for one-year duration from February 2019 to February 2020. Patients and Methods: Fifty patients with end-stage renal disease undergoing hemodialysis were studied. Characteristics of the pruritus such as duration, severity, occurrence, appearance, distribution, area of maximum intensity; effects on and mood have been documented. Effects of dry skin, heat, sweating, rest, clothing, fatigue, dialysis, cold, moisturizing, medications, and itching have been analyzed. Results: Pruritus seen in 90% daily, 22% weekly, 14% monthly, and incurable in 8%. The areas of maximum intensity are 66% of the legs and 34% of the back. Dry skin and cold environment exacerbated while rest and hot environment a meliorated pruritus. 76% had sleep problems 34% became agitated, while 18% became depressed patients with pruritus did not differ from those without it with regard to laboratory parameter or use of medication. Conclusion: This study gives us a comprehensive characterization of uremic pruritus, which may be a useful clue for treating nephrologists and dermatologists. Key words: Uremic Pruritus, Hemodialysis, Chronic renal failure, End stage renal disease.