Dermatosis en pacientes trasplantados renales
Argote Ruiz, Arturo César | 2016-12-02
Kidney transplant patients are in a situation of chronic immunosuppression that favors the appearance of dermatological lesions. The multidisciplinary team must know these diseases to guide timely referrals to the dermatological consultation contributing to the achievement and maintenance of a better quality of life of the patient.
Determine the prevalence of dermatological lesions in the adult population with a history of kidney transplantation, attended at an outpatient clinic of the Hospital de San José Bogota-Colombia, between July 2015 and July 2016.
Materials and method
A descriptive study of cross-sectional was made in adult patients with a history of renal transplantation were selected, who underwent their checks in the department of Nephrology. Data were obtained by questioning the patient, reviewing the medical history and the skin, cutaneous and mucosal attachments were inspected clinically and dermatoscopically.
33 patients entered with an average age of 49,7 years (SD 11,6), of which 23 were women (69,7%); the average time of transplantation was 4 years (p25: 2 years-p: 75:7 years). All patients were in the maintenance phase. The prevalence of dermatological lesions documented in this study was of 81,8% (n=27); inflammatory and other type lesions predominated (51,5 %), followed by infectious type lesions (33,3%). Three suspected neoplasia lesions were identified (9,0%), confirming by biopsy 2 nodular basal cell carcinomas (n=2) and 1 infiltrating squamous cell carcinoma (n=1).
In kidney transplant patients, the frequency of dermatological lesions is high. The design does not allow establishing a causal relationship between immunosuppressive therapy and the appearance of these lesions. However, a dermatological examination should be done periodically to detect diseases of skin, mucous and annexes, that affect the quality of life, in particular tumor lesions is needed.