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24 Results Found

  • Article
  • Open Access
14 Citations
2,557 Views
12 Pages

Endogenous Opioid Imbalance as a Potential Factor Involved in the Pathogenesis of Chronic Kidney Disease-Associated Pruritus in Dialysis Patients

  • Kamila Wala-Zielińska,
  • Karolina Świerczyńska-Mróz,
  • Piotr K. Krajewski,
  • Danuta Nowicka-Suszko,
  • Magdalena Krajewska and
  • Jacek C. Szepietowski

24 March 2023

Chronic pruritus is one of the most common symptoms of dermatological diseases. It may occur in the course of other disorders, such as kidney disease. Chronic kidney disease-associated pruritus (CKD-aP) most often affects people with end-stage renal...

  • Article
  • Open Access
7 Citations
2,312 Views
11 Pages

Elevated Level of Serum Neurotrophin-4, but Not of Brain-Derived Neurotrophic Factor, in Patients with Chronic Kidney Disease-Associated Pruritus

  • Kamila Wala-Zielińska,
  • Karolina Świerczyńska-Mróz,
  • Piotr K. Krajewski,
  • Danuta Nowicka-Suszko,
  • Magdalena Krajewska and
  • Jacek C. Szepietowski

26 October 2022

Chronic kidney disease-associated pruritus (CKD-aP) is a bothersome condition that occurs in patients with advanced chronic kidney disease (CKD) and severely reduces their quality of life. Recently, much research has focused on the search for markers...

  • Article
  • Open Access
17 Citations
4,903 Views
9 Pages

The Serum Level of IL-31 in Patients with Chronic Kidney Disease-Associated Pruritus: What Can We Expect?

  • Karolina Świerczyńska,
  • Piotr K. Krajewski,
  • Danuta Nowicka-Suszko,
  • Rafał Białynicki-Birula,
  • Magdalena Krajewska and
  • Jacek C. Szepietowski

7 March 2022

Chronic-kidney-disease-associated pruritus (CKD-aP) is one of the most common and burdensome dermatological symptoms affecting patients undergoing dialysis, and its etiopathogenesis has still not been fully discovered. This study was designed to inve...

  • Article
  • Open Access
9 Citations
2,264 Views
11 Pages

Serum Level of Protein-Bound Uraemic Toxins in Haemodialysis Patients with Chronic Kidney Disease-Associated Pruritus: Myths and Facts

  • Karolina Świerczyńska-Mróz,
  • Danuta Nowicka-Suszko,
  • Mariusz G. Fleszar,
  • Paulina Fortuna,
  • Piotr K. Krajewski,
  • Magdalena Krajewska,
  • Rafał Białynicki-Birula and
  • Jacek C. Szepietowski

16 March 2023

Recent studies place great importance on Protein-Bound Uraemic Toxins (PBUT) in the context of etiopathogenesis of chronic kidney disease-associated pruritus (CKD-aP). This study aimed to investigate the possible contribution of free and total Indoxy...

  • Article
  • Open Access
1,306 Views
11 Pages

Chronic Kidney Disease-Associated Pruritus in Patients Undergoing Haemodialysis—A Cross-Sectional Study

  • Teng Wang,
  • Jing-Xin Goh,
  • Wubshet Tesfaye,
  • Kamal Sud,
  • Connie Van,
  • Linda Le Do,
  • Surjit Tarafdar and
  • Ronald L. Castelino

Background and Objectives: Chronic kidney disease-associated pruritus (CKD-aP) is a burdensome symptom associated with impaired patient-reported outcomes. There is a paucity of research in this area with unclear aetiology, under-reporting of this sym...

  • Review
  • Open Access
62 Citations
17,238 Views
15 Pages

Chronic Kidney Disease-Associated Pruritus

  • Puneet Agarwal,
  • Vinita Garg,
  • Priyanka Karagaiah,
  • Jacek C. Szepietowski,
  • Stephan Grabbe and
  • Mohamad Goldust

28 July 2021

Pruritus is a distressing condition associated with end-stage renal disease (ESRD), advanced chronic kidney disease (CKD), as well as maintenance dialysis and adversely affects the quality of life (QOL) of these patients. It has been reported to rang...

  • Systematic Review
  • Open Access
25 Citations
6,827 Views
16 Pages

Chronic kidney disease-associated pruritus (CKD-aP) is a chronic condition that significantly reduces the quality of life of patients with end-stage renal disease. The etiology is not fully understood, but imbalance in the activity of the opioid path...

  • Review
  • Open Access
10 Citations
4,033 Views
14 Pages

Chronic Kidney Disease–Associated Pruritus and Quality of Life: Learning from Our Patients

  • Vicent Esteve-Simó,
  • Rosa Perez-Morales,
  • Juan Manuel Buades-Fuster,
  • Maria Dolores Arenas Jimenez,
  • Nuria Areste-Fosalba,
  • Guillermo Alcalde Bezhold,
  • Ana Blanco Santos,
  • Emilio Sanchez Álvarez,
  • Rafael Sanchez Villanueva and
  • Pablo Molina
  • + 3 authors

5 July 2023

Chronic kidney disease–associated pruritus is itching directly related to kidney disease that cannot be explained by any other condition. Despite technological advances in the different aspects of dialysis sessions and the best treatment for ch...

  • Article
  • Open Access
12 Citations
6,027 Views
8 Pages

Omega-3 Fatty Acids Improve Chronic Kidney Disease—Associated Pruritus and Inflammation

  • Ya-Ling Lin,
  • Chia-Liang Wang,
  • Kai-Li Liu,
  • Cheng-Nan Yeh and
  • Tsay-I Chiang

13 June 2022

Background and Objectives: Chronic kidney disease-associated pruritus (CKD-aP) is a common symptom in hemodialysis patients. A frequent and intense itching sensation largely torments patients, impacts quality of life outcomes, and it has an independe...

  • Review
  • Open Access
31 Citations
12,847 Views
14 Pages

Uremic pruritus, or chronic kidney disease-associated pruritus, is common, bothersome, and sometimes debilitating in patients with chronic kidney disease or end-stage renal disease. Due to its variable clinical manifestations, the diagnosis of uremic...

  • Article
  • Open Access
8 Citations
5,614 Views
8 Pages

Role of Dysregulated Ion Channels in Sensory Neurons in Chronic Kidney Disease-Associated Pruritus

  • Akishi Momose,
  • Micihihiro Yabe,
  • Shigetoshi Chiba,
  • Kenjirou Kumakawa,
  • Yasuo Shiraiwa and
  • Hiroki Mizukami

13 November 2019

Background: We investigated ion channels at the skin, including peripheral nerve endings, which serve as output machines and molecular integrators of many pruritic inputs mainly received by multiple G protein-coupled receptors (GPCRs). Methods: Based...

  • Article
  • Open Access
1 Citations
1,209 Views
14 Pages

The High Correlation Between Survey Assessments for Chronic Kidney Disease-Associated Pruritus, and Its Associations with Clinical Outcomes

  • Huei Hsun Wen,
  • Kinsuk Chauhan,
  • Steven Coca,
  • Juliana Oliveira,
  • Tejas Desai,
  • Keith Huff and
  • Lili Chan

Background: Chronic kidney disease-associated pruritus (CKD-aP) is a common condition in dialysis patients, and is associated with lower quality of life, depression, and sleep problems. CKD-aP is under-recognized and undertreated. While question 20 o...

  • Review
  • Open Access
27 Citations
4,525 Views
11 Pages

Impact of Pruritus on Sleep Quality of Hemodialysis Patients: A Systematic Review and Meta-Analysis

  • Inayat Ur Rehman,
  • Tahir Ali Chohan,
  • Allah Bukhsh and
  • Tahir Mehmood Khan

17 October 2019

Background and objectives: Chronic kidney disease (CKD)-associated pruritus is a common and disturbing condition which has a negative impact on sleep quality, as well as overall health-related quality of life of patients receiving hemodialysis. To da...

  • Article
  • Open Access
1,691 Views
15 Pages

Unmet Needs in the Management of Chronic Kidney Disease-Associated Pruritus and the Characteristics of the Ideal Treatment: A Spanish Cross-Sectional Survey from a Multidisciplinary Perspective

  • Patricia De Sequera,
  • José M. Martínez-Sesmero,
  • Isabel Romo,
  • Ana Calvo,
  • Susana Aceituno,
  • Olga Ruiz-Andrés and
  • Juan C. Julián-Mauro

19 January 2025

Objectives: Chronic kidney disease-associated pruritus (CKD-aP) is underdiagnosed and not fully understood by healthcare professionals, which leads to poor patient management and impacts patients’ quality of life (QoL). The aim of this study wa...

  • Review
  • Open Access
7 Citations
13,855 Views
19 Pages

Pruritus in Chronic Kidney Disease: An Update

  • Claire C. Y. Wang,
  • Henry H. L. Wu,
  • Arvind Ponnusamy,
  • Isobel Pye and
  • Alexander Woywodt

19 August 2022

Chronic kidney disease-associated pruritus (CKDaP) is an often under-diagnosed and under-recognized condition, despite its considerable prevalence within the chronic kidney disease (CKD) population. Universally accepted guidelines are also lacking. T...

  • Review
  • Open Access
10 Citations
9,387 Views
18 Pages

Pathogenesis and Treatment of Pruritus Associated with Chronic Kidney Disease and Cholestasis

  • Jin-Cheol Kim,
  • Won-Sik Shim,
  • In-Suk Kwak,
  • Dong-Hun Lee,
  • Jin-Seo Park,
  • So-Yeon Lee,
  • Seok-Young Kang,
  • Bo-Young Chung,
  • Chun-Wook Park and
  • Hye-One Kim

13 January 2023

Itching is an unpleasant sensation that provokes the desire to scratch. In general, itching is caused by dermatologic diseases, but it can also be caused by systemic diseases. Since itching hampers patients’ quality of life, it is important to...

  • Article
  • Open Access
931 Views
13 Pages

19 June 2025

Background/Objectives: CKD-associated pruritus (CKD-aP) is a serious systemic comorbidity occurring in patients with CKD. Despite the burden of CKD-aP, there are limited efficacious treatments available for its management; difelikefalin is the only a...

  • Article
  • Open Access
2 Citations
4,181 Views
26 Pages

Chronic pruritus is a distressing condition associated with various dermatological and systemic diseases, significantly impairing patients’ quality of life. While conventional treatments such as antihistamines and corticosteroids offer relief,...

  • Review
  • Open Access
867 Views
18 Pages

Role of Mast Cells and Their Mediators in Chronic Kidney Diseases

  • Maria Tziastoudi,
  • Christos Cholevas,
  • Theodoros Eleftheriadis,
  • Ioannis Stefanidis and
  • Theoharis C. Theoharides

14 October 2025

Chronic kidney disease (CKD) affects as many as 10% of the population, which translates to about 850 million globally. Even though genetics, diabetes, and hypertension contribute to CKD, the underlying pathologic processes remain poorly understood. M...

  • Review
  • Open Access
2 Citations
2,174 Views
15 Pages

23 July 2025

Pruritus is a common and distressing symptom in palliative care, often resulting from complex underlying conditions such as cancer, chronic kidney disease, and liver failure. Conventional pharmacological treatments frequently offer limited relief and...

  • Article
  • Open Access
23 Citations
6,778 Views
18 Pages

Skin Cutibacterium acnes Mediates Fermentation to Suppress the Calcium Phosphate-Induced Itching: A Butyric Acid Derivative with Potential for Uremic Pruritus

  • Sunita Keshari,
  • Yanhan Wang,
  • Deron Raymond Herr,
  • Sung-Min Wang,
  • Wu-Chang Yang,
  • Tsung-Hsien Chuang,
  • Chien-Lung Chen and
  • Chun-Ming Huang

22 January 2020

Pruritus and inflammation associated with accumulation of calcium phosphate (CaP) under the skin are common problems among dialysis patients with chronic kidney disease (CKD). The role of skin commensal microbiota in the CaP-induced uremic pruritus r...

  • Review
  • Open Access
2 Citations
6,402 Views
19 Pages

Despite the high burden of fatigue in patients with advanced chronic kidney disease (CKD) stage 4–5 including dialysis, little is known about risk factors and treatments for fatigue. This paper provides an overview of measurement, associated ri...

  • Review
  • Open Access
18 Citations
10,774 Views
19 Pages

Use of Sertraline in Hemodialysis Patients

  • Alicja Kubanek,
  • Przemysław Paul,
  • Mateusz Przybylak,
  • Katarzyna Kanclerz,
  • Jakub Jan Rojek,
  • Marcin Renke,
  • Leszek Bidzan and
  • Jakub Grabowski

9 September 2021

Depression and anxiety are the most common psychiatric disorders in end-stage renal disease (ESRD) patients treated with hemodialysis (HD) and may correlate with lower quality of life and increased mortality. Depression treatment in HD patients is st...

  • Review
  • Open Access
1 Citations
5,382 Views
19 Pages

Pruritus in Uremic Patients: Approaches to Alleviating a Common Symptom in Chronic Kidney Disease

  • Ștefania Cîrstea,
  • Olguța Anca Orzan and
  • Diana Silvia Zilișteanu

24 June 2025

Chronic kidney disease-associated pruritus (CKD-aP) is a distressing symptom that affects both dialysis and non-dialysis patients, significantly impairing their quality of life. Despite its multifactorial pathophysiology, no gold-standard treatment h...