Sistema de Salut de Catalunya
[Esteve-Simó V] Servei de Nefrologia, Hospital de Terrassa, Consorci Sanitari de Terrassa, Terrassa, Spain. [Perez-Morales R] Nephrology Department, Hospital Universitario Nuestra Señora de la Candelaria, Santa Cruz de Tenerife, Spain. [Buades-Fuster JM] Nephrology Department, Hospital Son Llatzer, Fundació Institut d'Investigació Sanitària Illes Balears, Palma, Spain. [Arenas-Jimenez MD] Healthcare Management Fundación Renal Iñigo Alvarez de Toledo, Madrid, Spain. [Areste-Fosalba N] Nephrology Department, Hospital Universitario Virgen de la Macarena, Sevilla, Spain. [Alcalde-Bezhold G] Nephrology Department, Hospital Universitario de Araba, Vitoria, Spain
Consorci Sanitari de Terrassa
2023-08-08T11:43:29Z
2023-08-08T11:43:29Z
2023-07-05
Chronic kidney disease; Haemodialysis; Opioid system; Pruritus
Enfermedad renal crónica; Hemodiálisis; Sistema opioide; Prurito
Malaltia renal crònica; Hemodiàlisi; Sistema opioide; Prurit
Chronic kidney disease-associated pruritus is itching directly related to kidney disease that cannot be explained by any other condition. Despite technological advances in the different aspects of dialysis sessions and the best treatment for chronic kidney disease patients, it is still a common problem in our patients. The many complex physiological mechanisms involved, the different hypotheses made over the years on the aetiology of the condition, and the great clinical variability may partially explain the limited knowledge about this problem and the difficulties in treating it. The presence of all these factors leads to the persistence of unpleasant symptoms, which must affect the disease burden and quality of life of kidney patients. Through the presentation of an illustrative clinical case, the aim of this review article is to highlight the need for adequate diagnosis and an improved approach to all aspects of chronic kidney disease-associated pruritus, in view of the heavy burden of the disease and the huge impact on the patient's quality of life.
Article
Published version
English
Insuficiència renal crònica; Diàlisi; Pruïja; DISEASES::Male Urogenital Diseases::Urologic Diseases::Kidney Diseases::Renal Insufficiency::Renal Insufficiency, Chronic; ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Renal Replacement Therapy::Renal Dialysis; DISEASES::Skin and Connective Tissue Diseases::Skin Diseases::Pruritus; ENFERMEDADES::enfermedades urogenitales masculinas::enfermedades urológicas::enfermedades renales::insuficiencia renal::insuficiencia renal crónica; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::tratamiento de reemplazo renal::diálisis renal; ENFERMEDADES::enfermedades de la piel y tejido conjuntivo::enfermedades de la piel::prurito
MDPI
Journal of Clinical Medicine;12(13)
https://doi.org/10.3390/jcm12134505
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
