How Kidney Disease Affects Your Skin: Managing Rashes, Sores, and Itches

Kidney disease can bring about certain physical changes, including changes to your skin. When living with CKD, your kidneys aren’t able to filter your blood as healthy kidneys would, causing waste and toxins to build up, which can leave your body feeling extremely itchy. The kidneys also have trouble balancing certain minerals including phosphorus. When your phosphorus levels get too high, it can cause your skin to be dry and irritated. In addition, kidney disease can lead to changes in your sweat glands, causing your skin to dry out.

If you are living with CKD, you may experience one or more of the following changes to your skin.

1. Rashes—can develop when your kidneys aren’t able to remove waste from your body. These rashes can present themselves as small, dome-shaped bumps and can be extremely itchy. The bumps can also form together, creating rough, raised patches on your skin.
2. Dry skin—may occur causing your skin to feel extremely tight. Your skin may start to crack.
3. Itchy skin—a common side effect of kidney disease that can range from irritating to life disrupting. If your skin feels itchy all or most of the time, consult with your doctor and dermatologist.
4. Blisters—sometimes people living with kidney disease will develop blisters on their hands, feet, and/or face.
5. Calcium deposits—damaged kidneys have trouble maintaining a healthy balance of minerals in your blood. Due to this imbalance, some people may develop calcium deposits under their skin. They typically appear near joints and are not painful unless they form within one of your fingertips.
6. Swelling—a healthy kidney removes extra fluids and salt from your body. When your kidneys are damaged, fluids and salt can build up in your body, causing swelling in your legs, ankles, feet, hands, and/or face.
7. Changes to skin color—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. 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.
8. Discolored nails—kidney disease can affect the look of your fingernails and toenails. You may notice what is called “half-and-half” nails, meaning the top part of your nails is white and the bottom part is a reddish-brown color. You may also see a white band across one or more of your nails.

Changes to your skin can be frustrating and, if left untreated, can impact your quality of life. Review the following tips and start incorporating them into your daily routine to help keep your skin healthy.

1. Monitor your calcium phosphate intake. It is important to take your phosphate binders as prescribed by your doctor to ensure your calcium phosphate levels stay in check.
2. Follow a kidney-friendly diet. What you eat and drink—and how much—can affect your health. In addition to other benefits, eating a kidney-friendly diet can help you feel your best and keep your phosphate levels down, reducing skin irritation.
3. Avoid scratching your skin. Scratching may provide short-term relief, but it often makes the itching worse and can damage the skin or cause an infection.
4. Steer clear of products with strong perfumes. The perfumes in certain products can cause allergic reactions or skin irritation, so it is best to use unscented products.
5. Wear comfortable clothing. Clothing made from cotton or other natural fabrics can be more soothing on your skin. Wearing loose-fitting clothes can also help because they don’t rub against your skin.
6. Moisturize. Putting cream on at least once a day can help combat dry skin, relieving some of the itchiness you may be feeling.
7. Avoid hot baths. Hot water can leave your skin feeling dry and irritated. It is also recommended to take showers instead of baths.

The above tips can help you keep your skin healthy, however, it is still important to discuss any concerns you may have about your skin with your doctor. If your skin is feeling itchy or irritated all or most of the time, talk to your doctor about possible medications or treatment options. If you wait too long to contact your doctor and seek help, your symptoms may get worse, and it may be difficult to reverse the progression.

In fact, it is never too soon to talk to your doctor. Early detection of kidney disease can help prevent the progression of CKD and associated complications such as rashes, sores, and itchy skin. Discovering kidney disease in the early stages can help you take control of your health sooner and keep your skin healthy. By partnering with your doctor, you can develop a treatment plan to ensure you stay healthy and feel your best.