A clinico-epidemiological study of eczematous dermatoses in the geriatric population in a tertiary care hospital

Authors

  • Farhat Khan Department of Dermatology, BYL Nair Ch. Hospital and TNMC, Mumbai, Maharashtra, India
  • Chitra Nayak Department of Dermatology, BYL Nair Ch. Hospital and TNMC, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20241721

Keywords:

Geriatric, Eczema, Hypertension, Diabetes

Abstract

Background: Eczema being widespread in India, not much research has been done on the clinico-epidemiological profile of eczemas or their potential association with other comorbidities. The study's objective was to determine the clinico-epidemiological profile of eczematous dermatoses in the elderly population and any potential relationships to risk factors and comorbidities.

Methods: It was an observational cross-sectional analytical time bound clinico-epidemiological study which was conducted in the dermatology out-patient department of Topiwala National Medical College and B.Y.L. Nair hospital in Mumbai, Maharashtra, between March 2019 and September 2020. Parameters recorded were age, gender, occupation, onset, duration, and progression of diseases, aggravating and relieving factors, associated chronic medical, surgical, and skin conditions. Also, history of atopy, sun exposure and irritant application were taken.

Results: Of the patients receiving out-patient care, 1.67% had eczema. Among 50 study patients, mean age was 70.02 years in males and 69.78 years among females. With 27.03% of patients, asteatotic and chronic eczema were the most prevalent kinds of eczema. In our study, we found a significant association (p=0.016) between hypertension and different forms of eczema, with chronic eczema being more common in hypertensive patients (80%). Most common comorbidity was diabetes, seen in 58% of patients with significant association (p=0.024) and asteatotic eczema being the most common form. There was a significant correlation (p=0.036) observed between eczema and various nail findings associated with eczema.

Conclusions: Appropriate management of eczema is important in alleviating problems faced by the geriatric populations.

Metrics

Metrics Loading ...

References

World Health Organization, World Health Organization. Definition of an older or elderly person. 2013. Available at: http://www.who.int/ healthinfo/survey/ageingdefnolder/en/. Accessed on 30 June 2015.

Hegde P, Hemanth DT, Emmi SV, Shilpa MP, Shindhe PS, Santosh YM. A case discussion on eczema. Int J Ayurveda Res. 2010;1(4):268.

Ellis CN, Drake LA, Prendergast MM, Abramovits W, Boguniewicz M, Daniel CR, et al. Cost of atopic dermatitis and eczema in the United States. J Am Acad Dermatol. 2002;46(3):361-70.

Klauder JV, Gross BA. Actual Causes of Certain Occupational Dermatoses: III. A Further Study with Special Reference to Effect of Alkali on the Skin, Effect of Soap on pH of Skin, Modern Cutaneous Detergents. AMA Arch Dermatol Syphilol. 1951;63(1):1-23.

Chopra A, Gill SS. Hyperkeratosis of palms and soles: Clinical study. Indian J Dermatol Venereol Leprol. 1997;63(2):85.

Yalçın B, Tamer E, Toy GG, Öztaş P, Hayran M, Allı N. The prevalence of skin diseases in the elderly: analysis of 4099 geriatric patients. Int J Dermatol. 2006;45(6):672-6.

Sundaresan S, Migden MR, Silapunt S. Stasis dermatitis: pathophysiology, evaluation, and management. Am J Clin Dermatol. 2017;18(3):383-90.

Eyster Jr WH, Roth GM, Kierland RR. Studies on the peripheral vascular physiology of patients with atopic dermatitis. J Invest Dermatol. 1952;18(1):37-46.

Weber RG, Roth GM, Kierland RR. Further contributions to the vascular physiology of atopic dermatitis. J Invest Dermatol. 1955;24(1):19-30.

Ruzicka T, Glück S. Cutaneous histamine levels and histamine releasability from the skin in atopic dermatitis and hyper-IgE-syndrome. Arch Dermatol Res. 1983;275(1):41-4.

Ivanov SV, Fedotov VP. Clinico-epidemiologic characteristics of eczema in patients with arterial hypertension. Vestnikdermatologiiivenerologii. 1989;1(9):31-5.

Tindall JP, Smith J. Skin lesions of the aged and their association with internal changes. JAMA. 1963;186(12):1039-42.

Kimball AB. Vesicular palmoplantar eczema. Fitzpatrick's Dermatol General Med. 2003;6:1205-9.

Oppel T, Korting HC. Onychodystrophy and its management. Ger Med Sci. 2003;1:Doc02.

Allevato MA. Diseases mimicking onychomycosis. Clin Dermatol. 2010;28(2):164-77.

Downloads

Published

2024-06-26

Issue

Section

Original Research Articles