ORIGINAL ARTICLE

Relationship of proteinuria severity with Xerosis Cutis in children with Nephrotic Syndrome at the Haji Adam Malik Hospital

Ami Utamiati , Sri Wahyuni Purnama, Irma D Roesyanto

Ami Utamiati
Postgraduate Master of Clinical Medicine Department of Dermatology and Venereology, Faculty of Medicine Universitas Sumatera Utara, Universitas Sumatera Utara Hospital, Medan, Indonesia. Email: ami.utamiati@yahoo.com

Sri Wahyuni Purnama
Department of Dermatology and Venereology, Faculty of Medicine Universitas Sumatera Utara, Universitas Sumatera Utara Hospital, Medan, Indonesia

Irma D Roesyanto
Department of Dermatology and Venereology, Faculty of Medicine Universitas Sumatera Utara, Universitas Sumatera Utara Hospital, Medan, Indonesia
Online First: December 01, 2020 | Cite this Article
Utamiati, A., Purnama, S., Roesyanto, I. 2020. Relationship of proteinuria severity with Xerosis Cutis in children with Nephrotic Syndrome at the Haji Adam Malik Hospital. Bali Medical Journal 9(3): 836-839. DOI:10.15562/bmj.v9i3.1964


Introduction: Proteinuria is a risk factor for the progression of Nephrotic Syndrome. Xerosis cutis is a disorder of the skin due to reduced fluid or oil content in the skin that moisture the surface of the skin layer. The three primary keys that play a role in the incidence of Xerosis Cutis are the lack of moisture-binding substances, lack of skin fat and ceramics and the latter lack of skin moisture wiring in the viable epidermis mediated by the aquaporin water channel. Reduced protein content and impaired collagen maturation, for example due to proteinuria, might influence the mechanism behind preservation skin moisture. This study aimed to determine the relationship between the severity of proteinuria and Xerosis Cutis in children with Nephrotic Syndrome.

Method. This is a cross-sectional analytic study involving 50 patients with Xerosis Cutis with Nephrotic Syndrome. Kruskal Wallis test is used to determine the association of proteinuria severity with Xerosis Cutis in children with Nephrotic Syndrome.

Result: The median value of age was 8 (3-16) years, with the most range at 6-10 years old (52%). It consists predominantly of male patients (68%). The duration of the Nephrotic Syndrome has a median value of 2 (1-7) years. Subject with +1 proteinuria (36%), +2 (32%), +3 (28%) and +4 (4%). Skin moisture level was dry (Xerosis Cutis) (36%), normal (56%), and moist (8%).  There was a significant association between skin dryness and the severity of proteinuria (p = 0.002).

Conclusion: There is a significant relationship between the severity of proteinuria and Xerosis Cutis. The higher the severity of proteinuria associated with having skin dryness and thus indirectly describing the more protein wasted through urine.

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