Dermatology quality of life in renal transplant recipients in the West of Ireland

Abstract

Abstract Background Renal transplant recipients (RTRs) experience cutaneous symptoms, some due to immunosuppressive medications, which can affect their quality of life (QOL). Previous studies noted a higher impact on QOL of younger female recipients. Objectives We sought to examine current trends in dermatology QOL in Irish RTRs. Methods Dermatology life quality index (DLQI) and dermatology conditions, past and present, were analysed in a cohort of RTRs in a single centre in the West of Ireland. Medical records were cross referenced. Results Sixty‐six RTRs participated, 70% male with a mean age 55 years ± SD13.6. Most participants (80%) described the presence of a skin condition. Despite this, many (71%) reported ‘no effect’ on their quality of life. Skin cancer, experienced by 26%, was associated with a small but significant effect on QOL. Biopsy proven actinic keratoses, on the other hand, was not. Cutaneous infections (bacterial and fungal) of the lower limb had the largest effect on QOL. Although not significant, male RTRs were more likely to report skin issues when asked and less likely to have seen dermatology for them. Unlike previous studies age or gender did not significant effect on QOL. Conclusions The findings of our study demonstrate a shift in trends of cutaneous complications of RTRs and highlights a need to consider foot care in this patient population. We illustrate a difference in health seeking behaviour of RTRs of different genders and a need for a focussed proactive skin cancer surveillance programme that targets not only early detection but also prevention in male organ recipients.

Keywords

• immunosuppression
• quality of life
• skin cancer in immunosuppressed
• transplantation