During the Covid-19 pandemic, Birmingham hospitals faced unprecedented pressure. In a BBC News interview our founder, Dr Thuva Amuthan, spoke as a West Midlands GP following the announcement that University Hospitals Birmingham NHS Foundation Trust had temporarily suspended kidney transplants due to the critical situation in the city.
This decision highlighted just how clinically vulnerable kidney patients are, particularly during periods of extreme strain on NHS services. What is less well recognised, however, is that kidney disease often affects the skin, sometimes significantly, and these symptoms are frequently overlooked or delayed in being assessed.
At Dr.Derme Skin Clinics in Birmingham, we regularly see patients with kidney disease who are struggling with distressing skin symptoms and are unsure when or where to seek help.
BBC News Interview: Supporting Kidney Patients in Birmingham
Speaking on BBC News, Dr Amuthan acknowledged how difficult this period was for patients awaiting kidney transplants:
“A transplant is a big thing to go through in the first place and you must be on a waiting list waiting for this for many months sometimes.”
Kidney disease already places a significant physical and emotional burden on patients. When treatment plans are delayed and healthcare systems are under pressure, secondary problems — including skin symptoms — can worsen, often without patients realising they are connected to their kidney health.
Why Kidney Disease Commonly Affects the Skin
The skin is one of the organs most affected by chronic kidney disease. Reduced kidney function leads to changes in hydration, circulation, toxin clearance and immune balance, all of which can have visible effects on the skin.
During periods when hospitals are stretched, as discussed in the BBC interview, these symptoms may not feel urgent to patients — but early assessment can prevent complications and unnecessary escalation.
Common Skin Problems in People with Kidney Disease
Severe Dry Skin (Xerosis)
Dry, tight and flaky skin is extremely common in kidney disease. Cracking can lead to pain, infection and significant discomfort, particularly in colder months or during illness.
Persistent Itching Without a Rash
Many kidney patients experience ongoing itching even when the skin appears normal. This can be severe, affect sleep, and have a major impact on quality of life.
Skin Infections and Poor Healing
Reduced healing capacity means minor skin problems can become infected more easily. Delayed care during the pandemic led to many avoidable complications.
Skin Colour Changes, Bruising and Fragility
Patients may notice pale appearance, yellow-brown skin tones, easy bruising or fragile skin, particularly as kidney disease progresses or in older patients.
Hospital Pressure and the Importance of Early Skin Assessment
During the BBC News interview, Dr Amuthan explained the wider pressures facing hospitals:
“All hospitals across the nation are at surge capacity.”
When NHS services are under strain, early community-based medical assessment becomes even more important. Identifying and managing skin problems early can reduce the need for urgent hospital care and provide reassurance for vulnerable patients.
Public Health Advice for Kidney Patients During Covid Surges
Dr Amuthan’s advice on BBC News for kidney patients and the wider public was clear:
“Make sure you follow the guidelines, stay at home, wash your hands, cover your face, stay two metres away and minimise contact.”
These measures are particularly important for protecting the skin barrier, preventing infections, and reducing the risk of complications in people with chronic illnesses.
When Should Someone with Kidney Disease See a Dermatology Doctor?
You should consider seeking dermatology advice if you have kidney disease and experience:
– Persistent or severe itching
– Cracked, bleeding or infected skin
– Non-healing wounds or sores
– New or changing skin lesions
– Skin symptoms that worsen during illness or stress
At Dr.Derme, assessments are GP-led and medically focused, with clear referral to consultant services when required.
Dermatology Support at Dr.Derme Skin Clinics, Birmingham
Dr.Derme Skin Clinics provide medical dermatology care for patients across Birmingham, including Edgbaston and Sutton Coldfield, as well as Wimbledon, London. Our focus is on early diagnosis, reassurance, and appropriate management — particularly for clinically vulnerable patients when NHS services are under pressure.
Book a Dermatology Consultation
Concerned about skin problems related to kidney disease?
Book a consultation with a Birmingham GP with specialist dermatology training at Dr.Derme Skin Clinics.
📍 Edgbaston | Sutton Coldfield | Hall Green | Wimbledon
📞 0800 009 6109
🌐 drderme.com
