CHRONIC KIDNEY DISEASE

PREVALENCE OF NAIL CHANGES

Abstract

Objectives: The objective of the study was to find out the prevalence of types
of nail changes in chronic kidney disease. Settings: Nephrology department, Mayo Hospital
Lahore. Duration of Study: From July 2016 to March 2017. Study Design: Descriptive Cross
sectional study. Methodology: A structured questionnaire was filled for data collection. 220
CKD patients were recruited. Basic demographic information like age and gender was obtained
from cases. Examination of nails of both hands and feet was done under bright light and any
abnormalities were noted on the structured performa. Nail changes were recorded as per
operational definition. Results: In our study, out of 220 cases, 61.36% (n=135) cases were
between 15-50 years of age while 38.64% (n=85) were between 51-85 years of age, mean+sd
was calculated as 48.11+8.11 years, 57.27% (n=126) were male and 42.73% (n=94) were
females, 16.36% (n=36) had half and half nails, 21.82% (n=48) had Koilonychia, 2.73% (n=6)
had Beau’s lines, 48.64% (n=107) had Absent lanula, 1.36%(n=3) had Leuconychia, 5% (n=11)
had Pitting, 1.82% (n=4) had Onycholysis, 2.27% (n=5) had Onychomycosis. Conclusion: We
concluded that the frequency of nail changes in chronic kidney disease is significantly higher
while absent lanula is a leading nail disorder followed by koilonychias and half and half nails in
these cases. Some other trials are required to validate our findings.