Arterio-venous shunt dermatitis in chronic renal failure patients on maintenance haemodialysis

Comparison of cutaneous manifestations in chronic kidney disease with or without dialysis

“…Arteriovenous shunt dermatitis is an irritant contact dermatitis which results from the use of soaps, disinfectants, and alcohol for skin cleansing during haemodialysis. It was reported by Goh et al 29 to affect up to 8% of patients on haemodialysis, and is more common in patients with pruritus, as seen in our study.…”

Contact allergies in haemodialysis patients: a prospective study of 75 patients

“…We observed that 8% of patients had localized eczema at the vascular access site at the time of examination despite the relative immunodepression of haemodialysis patients (11). This finding is comparable with the literature as, according to publications, 1.25 up to 24% of haemodialysis patients had such lesions (1,5). An expected, prediction of contact dermatitis was strongly linked to the existence of localized pruritus at the vascular access.…”

“…The majority of previous studies investigated only symptomatic patients who demonstrated active eczema around the AVF (2, 4, 5), or unexplained pruritus (3), or concerned a smaller population (3–5), focused more on immediate hypersensitivity reactions (11, 12) or only on one (4), or a small number of allergens (1). In contrast, in our series, tests were prospectively performed whether or not the patients presented clinical manifestations that indicated allergies and we used a large battery of allergens, targeting the equipment and topical agents used in dialysis, notably topical medications introduced recently such as local anaesthetics.…”

“…Haemodialysis treatment exposes patients to many potentially sensitizing allergens such as antiseptics, nickel (in the needles), local anaesthetics, latex, etc. However, very few studies have explored allergic contact dermatitis in such populations (1–5) while eczema and pruritus are commonly found around the vascular access suggesting the presence of a contact sensitization (6).…”

Cutaneous manifestations in patients with chronic kidney disease on hemodialysis

“…It was seen in 8% of patients on long term hemodialysis and is characterised by irritant contact dermatitis from soap, disinfectants and alcohol used for skin cleansing. 32 Udaykumar et al reported shunt dermatitis in 2% of their study patients. 3 Other rare manifestations of CRF such as uremic frost, calciphylaxis, bullous dermatoses of hemodialysis, pseudo-Kaposi sarcoma and nephrogenic systemic fibrosis documented in other studies were not seen in this study.…”