<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2254-2884</journal-id>
<journal-title><![CDATA[Enfermería Nefrológica]]></journal-title>
<abbrev-journal-title><![CDATA[Enferm Nefrol]]></abbrev-journal-title>
<issn>2254-2884</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Enfermería Nefrológica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2254-28842019000300002</article-id>
<article-id pub-id-type="doi">10.4321/s2254-28842019000300002</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Alteraciones de la piel del paciente con enfermedad renal crónica avanzada. Una revisión sistemática]]></article-title>
<article-title xml:lang="en"><![CDATA[Skin alterations in patients with Advanced Chronic Kidney Disease. A systematic review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morillo-Gallego]]></surname>
<given-names><![CDATA[Noelia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Merino-Martínez]]></surname>
<given-names><![CDATA[Rosa Mª]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Cabezas]]></surname>
<given-names><![CDATA[Azahara Mª]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alcántara-Crespo]]></surname>
<given-names><![CDATA[Mateo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Córdoba Facultad de Medicina y Enfermería Departamento de enfermería]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario Reina Sofía Servicio de Nefrología ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<volume>22</volume>
<numero>3</numero>
<fpage>224</fpage>
<lpage>238</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S2254-28842019000300002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S2254-28842019000300002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S2254-28842019000300002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo Conocer las principales alteraciones de la piel, así como su prevalencia, en los pacientes con Enfermedad Renal Crónica Avanzada.  Material y Método Se ha realizado una revisión sistemática a través de las bases de datos de PubMed, Cochrane, Scopus y Google Académico. Se incluyeron artículos científicos escritos en inglés y español. Se analizaron los artículos que trataban sobre las alteraciones en la piel en el paciente con Enfermedad Renal Crónica Avanzada y/o en tratamiento con diálisis.  Resultados Se han incluido 32 artículos publicados entre el año 2008 y 2018: 7 revisiones sistemáticas, 3 de tipo experimental y 22 de tipo observacional. Las alteraciones cutáneas aparecen en la mayoría de los pacientes en prediálisis y en tratamiento con diálisis, en mayor o menor grado. La mayoría de alteraciones de la piel descritas han sido, xerosis, prurito e hiperpigmentación. La mayor complicación relacionada con la alteración de la piel ha sido la calcifilaxis; siendo las variables más influyentes en la aparición de estas lesiones, el tipo de tratamiento dialítico, las enfermedades asociadas y falta de adherencia a la dieta prescrita.  Conclusiones Las alteraciones en la piel están presentes en la mayoría de los pacientes con Enfermedad Renal Crónica Avanzada y en diálisis, predominando la xerosis como la alteración más frecuente, siguiéndole el prurito y la hiperpigmentación. La complicación más grave relacionada con las alteraciones de la piel es la calcifilaxis, encontrándose asociada a altos niveles de fósforo sérico. No existen protocolos estandarizados para el manejo de las alteraciones cutáneas en estos pacientes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective To know the main alterations of the skin, as well as its prevalence, in patients with Advanced Chronic Kidney Disease.  Material and Method A systematic review was carried out through searches in the PubMed, Cochrane, Scopus and Google Scholar databases. Scientific articles written in English and Spanish were included. Articles that addressed skin alterations in patients with Advanced Chronic Kidney Disease and/or on dialysis treatment were analyzed.  Results 32 articles published between 2008 and 2018 were included: 7 systematic reviews, 3 intervention studies and 22 observational studies. To a greater or lesser degree, skin disorders appear in most patients on pre-dialysis and on dialysis treatment. Most of the skin disorders described were xerosis, pruritus and hyperpigmentation. The major complication related to the skin alteration was calcifilaxis; being the type of dialysis treatment, the associated diseases and lack of adherence to the prescribed diet, the most influential variables in the appearance of the lesions.  Conclusion Skin alterations are present in many patients with Advanced Chronic Renal Disease and on dialysis, being xerosis the most frequent alteration, followed by pruritus and hyperpigmentation. The most serious complication related to skin alteration is calcifilaxis, being associated with high levels of serum phosphorus. There are no standardized protocols for the management of skin disorders in these patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[skin alterations]]></kwd>
<kwd lng="es"><![CDATA[dialysis]]></kwd>
<kwd lng="es"><![CDATA[advanced chronic kidney disease]]></kwd>
<kwd lng="es"><![CDATA[calciphylaxis]]></kwd>
<kwd lng="en"><![CDATA[alterations in skin]]></kwd>
<kwd lng="en"><![CDATA[dialysis]]></kwd>
<kwd lng="en"><![CDATA[advanced chronic kidney disease]]></kwd>
<kwd lng="en"><![CDATA[calciphylaxis]]></kwd>
</kwd-group>
</article-meta>
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