Nailfold capillaroscopy findings for patients receiving hemodialysis treatment and patients with renal transplant

Abstract

Cardiovascular diseases are the most common cause of death in hemodialysis patients. Early diagnosis of cardiovascular diseases has vital importance. The aim of our study is to use the NFC method to determine the importance of microcirculatory structure changes for early detection of increased cardiovascular disease risk in hemodialysis patients. The research was performed from april/2017 to july/2017. The study included 15 patients receiving hemodialysis treatment and 15 renal transplant patients followed by the nephrology department and 15 healthy volunteers attending the internal diseases clinic. Every patient were examined by videocapillaroscopy according to procedure and data were recorded. Statistical analyses were evaluated with SPSS 22.0. There was a significant difference in laboratory values between hemodialysis patients and both groups except uric acid (p<0.05). There was not a significant difference between the groups in terms of capillary density, capillary hemorrhage rate, tortuous capillary incidence, and giant capillary incidence (p>0.05). In conclusion, investigation of nailfold capillaroscopy in hemodialysis and renal transplant patients did not identify a significant disruption in microcirculation compared to the healthy control group. There is a need for nailfold capillaroscopy studies of hemodialysis and renal transplant patients with higher numbers of patients.

Keywords

• Vasculitis
• microvascular changes
• nailfold capillaroscopy
• renal transplantation

References

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