Liver Disease Rash: A Symptom And A Sign
What is a liver disease rash?Dermatologists find that our skin often shows what is happening inside of the body. A liver disease rash could indicate a further health problem. An example of where this effects your liver would be jaundice, where the skin and the whites of the eyes become yellow. Although yellowing skin is not the only skin change that indicates liver disease, darkening of the skin and bronzing of the skin can point to liver disease or failure and rashes can point to a number of liver health problems.
Whats in this article
- A liver disease rash and hepatitis C
- When does liver disease rash occur?
- Signs & symptoms
A liver disease rash and hepatitis C
Skin rashes may be a sign of hepatitis C, and should not be ignored. Rashes that appear on your skin as a result of hepatitis c show that your body is busy trying to fight the infection on its own. This rash is called urticaria and is the most common rash for those suffering from acute hepatitis c virus. This is a short-term infection, according to the National Digestive Diseases Information Clearinghouse, acute HCV typically lasts for six months or less. Urticaria can also cause the skin to swell, rashes on your face and often comes in rounds that can last for several hours. Urticaria can also develop as a result of certain allergic reactions.
Signs & symptoms
If a rash is due to liver damage skin symptoms may include:
Additional symptoms may include stomach swelling and bleeding that does not stop.
What Are The Symptoms Of Itching In Kidney Disease
Uraemic pruritus is the scientific name for skin itching. It is a sign of end-stage renal disease , common in individuals with chronic kidney disease .
Pruritus experienced during this time is:
- Progressive, i.e. it increases over time
- Continuous or periodic
- Localised to a single area or spread across the body, including the head, arms, and legs
- Can be experienced with other symptoms, such as changes in skin colour, skin pigmentation or hyperpigmentation, tight skin, rough skin, scaly appearance to the skin, itchy skin, blisters, cysts, spots, nail alterations, blisters, and/or leather-like texture of the skin
Itching during kidney disease is caused by issues that arise within the body due to the impairment of regulatory activities that are vital for proper renal function. These include, but are not limited to, elevated levels of phosphorus, inflammation, an increase in histamines, allergens, irritants, pollutants, neurological problems, dehydration, dry skin, excess urea , insufficient dialysis, and other pre-existing conditions.
How Will Itching In Kidney Disease Affect Your Skin
Pruritus affects everyone differently. It can range from mild to severe. Itching can be in one little place or it can ravage your entire body. Itching commonly occurs on the back, abdomen, head, and forearms.
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Virus Skin Rash Adults
Life-threatening disorders that have a skin rash as a major sign include: Meningococcemia: This is caused by Neisseria meningitides and is an infectious disease. A rash is preceded by headache, nausea, vomiting, muscle pain, and joint pain, Rocky mountain spotted fever: This is caused by Rickettsia, which is transmitted to humans by the bite of a tick. . Patients initially report.
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Upset Stomach Nausea Vomiting
Why this happens:
A severe build-up of wastes in the blood can also cause nausea and vomiting. Loss of appetite can lead to weight loss.
What patients said:
I had a lot of itching, and I was nauseated, throwing up all the time. I couldn’t keep anything down in my stomach.
When I got the nausea, I couldn’t eat and I had a hard time taking my blood pressure pills.
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Swollen Or Puffy Face
Why this happens:
Failing kidneys dont remove extra fluid, which builds up in your body causing swelling in the face.
What patients said:
My sister, her hair started to fall out, she was losing weight, but her face was really puffy, you know, and everything like that, before she found out what was going on with her.
My checks were always puffy and tight. Sometimes they would even hurt.
Signs Of A Kidney Infection
What does a kidney infection feel like? According to the NIDDK, the most common kidney infections symptoms are:
But depending on a persons age, they may not experience all of these kidney infection symptoms. Children younger than two may only experience high fever as a sign of kidney infections, the NIDDK says, and people older than 65 might only present with cognitive issues, like confusion, hallucinations, and disorganized speech.
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How Does Kidney Failure Affect The Skin
Kidney failure can affect the skin due to an imbalance of fluids in the body and the consequent problems faced during the transport of nutrients. Research shows that certain skin manifestations are consistent with kidney disease, outlined below:3
What You Can Do To Relieve Itching In Kidney Disease
Apart from asking why kidney disease causes itching, the priority is finding relief for the problem. If you experience itching and have kidney disease, it is important to tell your doctor or the team in the dialysis unit. It may mean you have too much urea in your blood, and the team may need to review your medication and dialysis regime. Here are a few things you can do to try to reduce itching:
- Wear loose clothing made with natural fibers.
- Avoid perfumes, aftershaves, and use unscented soaps.
- Pat instead of rub skin after a shower.
- Avoid arid environments.
Sometimes you may need help from your doctor to manage the symptoms. They can prescribe an antihistamine or medication such as Gabapentin which reduces itching by interacting with nerve function. Both these types of drugs can make you sleepy, so you need to be monitored carefully. A dermatologist is another source of help and can advise on treatment options, such as using creams.
Remember to seek advice for any symptoms that develop with your kidney disease from the medical team treating you.
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Why Does Kidney Failure Cause Itching
Kidney failure is a condition of when the kidney doesnt work as well as it should. This can be mild or severe. To keep survive you need at least one functioning kidney. In the worst scenario, two kidneys completely fail to work . In such case, dialysis is recommended. Skin itching is quite common in people with kidney disease, particularly for those with dialysis.
How Common Is Itching
Itching is a common symptom of end-stage renal disease or progressive/severe kidney disease.
Kidneys are responsible for fluid balance regulation within the body, vital for transporting nutrients to the cells. This is important to ensure overall health. During kidney malfunction, this process of regulating the fluid balance is impaired, causing a build-up of toxins as the kidneys cannot excrete toxic materials. This, therefore, causes itching, primarily seen in late-stage or advanced kidney disease.
Research shows that pruritus is extremely common during advanced and severe conditions of kidney malfunction, observed in patients across the world.5 Additionally, research supports the statistic that 50% of the individuals on dialysis will potentially experience itchy skin.6 Another study also revealed that this type of itching post-dialysis has a higher prevalence in people assigned male at birth than those assigned female at birth.7Research has also highlighted that some individuals with stage 3 kidney disease may experience itching.8
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Signs Of Acute Pyelonephritis
Acute pyelonephritis is a painful bacterial infection of the kidneys which occurs when bacteria enter the urethra, move into the bladder, travel up the ureters and affect the kidneys. It is usually caused by the bacterium Escherichia coli, but can sometimes be caused by other bacteria.
Acute pyelonephritis is a common kidney problem in females, especially those between the ages of 15 and 29. The condition is rare among males, although it is more common in men over the age of 65 or men with anatomical abnormalities of the urinary tract. It can, however, affect people of any age. Although it is quite uncomfortable, acute pyelonephritis is seldom a cause of long term kidney problems. Some underlying conditions can increase the risk of developing acute pyelonephritis. These include:
- Urinating painfully or with difficulty
- Producing no urine
- Low blood pressure, which can manifest as dizziness and/or faintness
In men and women older than 65, the above-mentioned symptoms may be absent, and additional symptoms may include:
- Jumbled speech
Good to know: In babies and toddlers, the only sign of acute pyelonephritis may be a high fever.
Can Kidney Failure Cause Lesions
A skin lesion refers to an area of the skin with an abnormal growth or appearance compared to other skin regions. The skin can develop rashes4 during kidney disease. These can cause itching episodes that can increase in severity during the night and can be felt across the abdomen, back, head, and/or hands.
- It could be felt in a single area or spread across various areas.
- Continuous itching can further lead to sores and redness. This can also cause bleeding and/or scarring.
- Skin abnormalities can also be present as boils, blisters, scaling, and spots.
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What Are The Signs And Symptoms Of Uraemic Pruritus
Uraemic pruritus is characterised by daily bouts of itching that tend to worsen at night and may prevent sleep. The itch may be generalised or localised to one area, most often the back, abdomen, head and /or arms. In haemodialysis patients, the pruritus is lowest the day after dialysis and peaks 2 days afterwards.
The skin may appear normal or dry , with few to numerous scratch marks and/or picked sores.
How Is Hsp Treated
There is no specific treatment for HSP. The main goals of treatment are to relieve symptoms such as joint pain, abdominal pain, or swelling. In most cases, you can use over-the-counter medicines, such as acetaminophen , for the pain. In some patients with severe arthritis, the doctor may prescribe prednisone, a steroid medicine. As mentioned earlier, the rash and joint symptoms usually go away after 4 to 6 weeks without causing permanent damage. Severe problems with the bowels are rare in HSP, especially in younger children. If you have severe pain or severe bleeding in the digestive tract your doctor may prescribe prednisone, or the problem may need to be corrected with surgery. Your doctor will check your kidney function with blood and urine tests even after the main symptoms of HSP disappear. People who develop kidney disease usually show signs within 3 to 6 months after the initial rash appears. If signs of kidney disease appear, your doctor will refer you to a nephrologist, who may prescribe drugs to suppress the immune system. These immunosuppressive drugs may keep kidney disease from progressing to permanent kidney failure.
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What Exams Or Tests Do Doctors Use To Diagnose A Yeast Infection Skin Rash
For healthy people, most physicians can diagnose a candidal infection without laboratory tests. Occasionally, if the infection will not go away or if it involves the entire body, more extensive tests may be performed.
- One way to diagnose a vaginal yeast infection is with a full gynecologic exam.
- Over-the-counter pH testing kits are available to help women differentiate common bacterial infections. However, people may still need to visit their doctor to confirm the cause of symptoms and to obtain the appropriate treatment.
Changes In The Color Of Your Skin
If you notice changes in skin color, this can also be a symptom of chronic kidney disease. “The buildup of toxins in your body, when your kidneys aren’t filtering your blood as they should, can cause color changes to your skin,” explains Fresenius Kidney Care. “You may notice a gray or yellow hue to your skin, areas of darkened skin, or an unhealthy pale tone. If you’ve had itchy skin for a long time and scratch often, you may also see yellowish, thick skin with bumps or cysts.”
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Signs Of Chronic Kidney Disease
Chronic kidney disease is generally without symptoms and painless in its early stages, except in situations where an underlying condition causes pain. Chronic kidney disease takes a long time to develop. If the affected personâs symptoms develop over a number of hours or a few days, it is more likely that the kidney problem they are experiencing is acute kidney injury .
Chronic kidney disease is a common disorder, with an estimated 1 in 10 people in the US having some degree of the disorder. Chronic kidney disease can occur at any age, but is more common in the elderly, and it is more common in women than in men. In the elderly, CKD is often a result of ageing rather than an underlying disorder.
A diagnosis of chronic kidney disease is often made only in the later stages of the disorder. In the early stages, the disorder may not cause disturbances that can be clinically measured. Symptoms only appear later, and once they do, the affected person will be tested by a physician to confirm that CKD is present.
Some conditions predispose people to chronic kidney disease. These include:
If these symptoms appear, seek medical assistance as soon as possible. Seek emergency help if you experience problems with breathing or pain in your chest area, canât stay awake despite trying or canât keep fluids down at all.
For more information on chronic kidney disease, read this resource on chronic renal failure.
How Is A Kidney Infection Diagnosed
Your doctor will ask about your symptoms, do a physical exam, and likely run some diagnostic tests. Those include a urinalysis, to check your pee under a microscope for bacteria and white blood cells, which your body makes to fight infection, and a urine culture to help find out what kind of bacteria is causing the infection, the NIDDK says. Your doctor may even take a blood sample to check for bacteria or other organisms in your blood, the Mayo Clinic says.
Other tests that might come up include an ultrasound, a CT scan, or a form of X-ray called a voiding cystourethrogram, which involves injecting a contrast dye to take X-rays of your bladder when its full and while youre peeing, per the Mayo Clinic.
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Other Ways Itching In Kidney Disease Can Affect Your Skin
Itching is not the only thing that can occur in kidney disease. Other dermatological conditions include the following:
- Scratching and scratch marks
- Perforations of the skin
Scratching and Scratch Marks
Too much scratching can also develop into secondary skin conditions. It can rub off the top layer of skin. Impetigo can also occur as a result of scratching. This is a skin infection caused by bacteria, specifically Streptococcus and Staphylococcus aureus.
Thick, Callous Skin
Lichenification is skin that has become thick and leathery due to constant scratching or rubbing.
Lumps and Bumps on the Skin
Kidney itching can cause hard, itchy bumps known as prurigo nodularis. They also appear as prurigo lesions. Try not to scratch these. They can cause more skin lesions to appear.
Color Changes to your Skin
During ESRD the skin will change color. It can become a pallor or yellow hue. The yellow color is related to anemia and hormone imbalances. Pallor is a slate-grey discoloration. It occurs when iron is trapped in skin cells.
Kidney disease can result in small, narrow, and thickened fingernails. Nails can also discolor and split in half.
In CKD the kidneys are not able to properly filter and remove toxins. This can lead to the buildup of fluid in the body. It will often result in swelling in the legs, hands, face, feet, and/or ankles.
Calcium Deposits Beneath Skin
Perforation of the Skin
What Is The Long
Most cases of HSP resolve within 4 to 6 weeks without long-term problems. About one in three people has a recurrence of HSP. Recurrences usually occur within a few months and are usually less severe than the initial episode. When the symptoms recur or last longer than 6 weeks, they can be very frustrating and uncomfortable. The long-term outlook is still good, however, as long as your kidneys are healthy. If you develop progressive kidney disease, you will need to have regular checkups to monitor your kidney function. In the early stages of kidney disease, you may not have any symptoms, but blood and urine tests may show that your kidney function is declining. If you continue to have blood and protein in your urine, you are at greater risk of developing chronic kidney disease. Between 20 and 50 percent of children with HSP develop some kidney problems, but only 1 percent progress to total kidney failure. Progression to kidney failure may take as long as 10 years.
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