What do fingernails look like with kidney disease?

Nail changes. People who have advanced kidney disease can develop: A white color on the upper part of one or more nails and a normal to reddish brown color below, as shown here (half-and-half nails) Pale nails. White bands running across one or more nails (Muehrcke's nails)

aad.org - Kidney disease: 11 ways it can affect your skin

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If you have kidney disease, you won’t see early warning signs on your skin. However, as the disease progresses, you may develop one or more of the following: Extremely dry skin. Skin can become so dry that it: Becomes rough and scaly

Feels tight and cracks easily

Develops fish-like scales Extremely dry skin is common in people who have end-stage kidney disease, which requires dialysis or a kidney transplant. Itchy skin. Extremely itchy skin is a common symptom of advanced kidney disease. The itch can range from irritating to life-disrupting. Your skin may itch all (or most of) the time. Some people have itch on one area of their skin. The itch can also spread across most of your body. Scratch marks and other signs of scratching. When you scratch often, it affects your skin. You can develop: Raw, bleeding skin or sores

Thick, leathery skin (lichen simplex chronicus)

Firm, very itchy bumps (nodularis prurigo) If nothing seems to relieve the itch, you may want to see a dermatologist. Some people who have end-stage kidney disease get relief from a treatment called UVB phototherapy. Color changes to your skin. When the kidneys stop working as they should, toxins build up in your body. This build-up can cause color changes to the skin. You may see any of the following: An unhealthy pale color

Gray hue

Yellowish color

Areas of darkened skin, as shown here

Yellowish, thick skin with bumps and deep lines

Cysts and spots that look like whiteheads The last two develop when you’ve had itchy skin for a long time and scratch often. Nail changes. Kidney disease can affect the appearance of your fingernails, toenails, or both. People who have advanced kidney disease can develop: A white color on the upper part of one or more nails and a normal to reddish brown color below, as shown here (half-and-half nails)

Pale nails

White bands running across one or more nails (Muehrcke’s nails) Because your nails reveal a lot about your health, see your doctor if you notice any changes to your fingernails or toenails. Swelling. Your kidneys remove extra fluids and salt from your body. When they can no longer do this, the fluids and salt build up in your body. This build-up causes swelling, which you may notice in your: Legs

Ankles

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Feet

Hands

Face You may see the swelling in one or several areas of your body. Rash. When kidneys cannot remove waste from your body, a rash can develop. One rash that occurs in people who have end-stage kidney disease causes small, dome-shaped, and extremely itchy bumps. As these bumps clear, new ones can form. Sometimes, the small bumps join together to form rough, raised patches. Blisters. Some people who have end-stage kidney disease develop blisters, which can form on their: Hands (as shown here)

Face

Feet The blisters will open, dry up, and crust over. As they clear, scars appear. Lump in your belly. This can be a sign of kidney cancer. In its early stages, kidney cancer seldom causes symptoms. When the cancer advances, it can cause a mass or lump on the: Side

Belly

Lower back Feeling a mass in one of these areas can also be a sign of something less serious going on inside your body. If you find any spot or lump, make an appointment to see your doctor. Skin too tight to pinch. This is an extremely rare side effect that can occur when you get an MRI or another test that requires a contrasting agent. A doctor may request a contrast agent to get a better view inside an area of your body, such as a blood vessel. If you need a contrasting agent, it will be injected into a vein before your test. Gadolinium is a contrasting agent that can affect your kidneys. When this happens, it can cause: Areas of hard, shiny skin that become too tight to pinch Inability to fully bend a knee, elbow, or other part of your body Skin that feels bound down This is a rare side effect. If you have kidney disease, be sure to tell any doctor who orders a medical test for you.

aad.org - Kidney disease: 11 ways it can affect your skin

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