Article (Scientific journals)
Effect of haemodialysis on acoustic shear wave propagation in the skin.
Uhoda, I.; Petite, Louicette; Krzesinski, Jean-Marie et al.
2004In Dermatology, 209 (2), p. 95-100
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Keywords :
Adult; Aged; Case-Control Studies; Electrophysiology; Female; Gravitation; Humans; Male; Middle Aged; Probability; Reference Values; Regression Analysis; Renal Dialysis/adverse effects/methods; Sensitivity and Specificity; Skin Aging/physiology; Skin Physiological Phenomena; Statistics, Nonparametric
Abstract :
[en] BACKGROUND: Diverse skin alterations may develop in patients under chronic haemodialysis. Among them, signs of premature photo-ageing have been described. AIM: To assess alterations in the physical properties of skin consistent with ageing effects and with cutaneous fluid exchanges during haemodialysis sessions. METHODS: In the first part of the study, 45 haemodialysed patients were compared to 45 age-, sex- and body-mass-index-matched healthy subjects. In the second part of the study, skin of 30 haemodialysed patients was assessed immediately before and after a haemodialysis session. The speed of ultrasound shear wave propagation was measured in each subject. Series of 16 multidirectional resonance running time measurements (RRTM) were performed on the forehead and/or the volar forearm. They were averaged for each subject. The corresponding intra-individual coefficients of variation were calculated as an estimate of the skin mechanical anisotropy. RESULTS: In both haemodialysed patients and their matched controls, RRTM values were significantly higher on the forearms than on the forehead. By contrast, no significant difference was found in RRTM values that could be ascribed to chronic haemodialysis. However, RRTM values were significantly increased as an immediate and probably transient effect of haemodialysis sessions. In healthy subjects, ageing was associated with increased RRTM values. CONCLUSION: Chronic haemodialysis does not appear to influence significantly the functional expression of the dermal ageing process. Subtle fluid movements occurring in the skin during haemodialysis sessions can be assessed by measuring non-invasively the speed of ultrasound shear wave propagation in the skin.
Disciplines :
Dermatology
Author, co-author :
Uhoda, I.
Petite, Louicette ;  Centre Hospitalier Universitaire de Liège - CHU > Secteur nettoyage
Krzesinski, Jean-Marie ;  Centre Hospitalier Universitaire de Liège - CHU > Néphrologie
Pierard, Claudine ;  Centre Hospitalier Universitaire de Liège - CHU > Dermatopathologie
Pierard, Gérald ;  Centre Hospitalier Universitaire de Liège - CHU > Dermatopathologie
Language :
English
Title :
Effect of haemodialysis on acoustic shear wave propagation in the skin.
Publication date :
2004
Journal title :
Dermatology
ISSN :
1018-8665
eISSN :
1421-9832
Publisher :
S. Karger, Basel, Switzerland
Volume :
209
Issue :
2
Pages :
95-100
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 03 March 2009

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