DOI: http://dx.doi.org/10.18203/issn.2455-4529.IntJResDermatol20175377

Pattern of geriatric dermatoses at a tertiary care center in North-East India

Sandhyarani Kshetrimayum, Nandakishore Singh Thokchom, Vanlalhriatpuii ., N. A. Bishurul Hafi

Abstract


Background: The aging population is dramatically increasing with the increase in the average life. It is faced with different health problems which include skin as well. The aim was to study the clinical pattern of geriatric dermatoses and associated systemic diseases.

Methods: A cross-sectional study was conducted for a period of 18 months to study the pattern of geriatric dermatoses on 250 geriatric patients aged above 60 years attending Dermatology OPD, RIMS, Imphal.

Results: Out of 250 patients 136 were males and 114 were females. The mean age was 67.28 years and the male to female ratio was 1.19:1. Majority of the patients belonged to the 60-69 age group (66%). 63.2% had the dermatosis for more than 1 month before presentation. The most common dermatoses were: infections (26.4%), eczemas (22.4%), papulosquamous (10.4%), photodermatoses (8.0%) and infestations (6.8%). Herpes zoster (13.2%) and superficial fungal infections (7.6%) was the most common infections. Lichen simplex chronicus (6%). was the main form of eczema. Psoriasis (6%) and lichen planus (4.4%) were the common papulosquamous disorders. Chronic actinic dermatitis (6%) represented as the main pattern of photodermatoses. Uncommon disorders were tumors (4%), immunobullous (2.6%), drug reaction (2.4%), vitiligo (2%) and alopecia areata (0.8%). Main co-morbid systemic diseases were hypertension (16.4%) and diabetes mellitus (6.8%).

Conclusions: Different disease entities in the elderly demands different approach to management. Contributing factors like neglect, delay in seeking treatment, co-morbidities have to be properly addressed. Health education on proper skin care, avoidance of irritants and self-medication etc would help reduce the incidence of common dermatoses.


Keywords


Geriatric, Dermatoses, North-East, India

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References


World Health Organization. Definition of an older person. Available at: http://www.who.int/healthinfo/ survey/ageingdefnolder/en/index.html. Accessed on 18 September 2015.

Verma SB. Dermatology for the elderly: An Indian perspective. Clin Dermatol. 2011;29(1):91-6.

Chopra A. Skin diseases in the elderly. Indian J Dermatol Venereol Leprol. 1999;65(5):245-6.

Nair P, Bodiwala N, Arora T, Patel S, Vora R. A study of geriatric dermatosis at a rural hospital in Gujarat. J Indian Acad Geriatr. 2013;9(1):15-9.

Sheethal MP, Shashikumar BM. A cross-sectional study on the dermatological conditions among the elderly population in Mandya city. Int J Med Sci Public Health. 2015;4(4):467-70.

Patange S, Fernandez R. A study of geriatric dermatoses. Indian J Dermatol Venereol Leprol 1995;61(4):206-8.

Yap KB, Siew MG, Goh CL. Pattern of skin diseases in the elderly seen at the National Skin Centre (Singapore) 1990. Singapore Med J. 1994;35(2):147-50.

Liao YH, Chen KH, Tseng MP, Sun CC. Pattern of skin diseases in a geriatric patient group in Taiwan: A 7- year survey from the Outpatient Clinic of a University Medical Center. Dermatology. 2001;203(4):308-13.

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

Bilgili SG, Karadag AS, Ozkol HU, Calka O, Akdeniz N. The prevalence of skin diseases among the geriatric patients in eastern Turkey. J Pak Med Assoc. 2012;62(6):535-9.

Scheinfeld N. Infections in the elderly. Dermatol Online J. 2005;11(3):8.

Pavithra S, Shukla P, Pai GS. Cutaneous manifestations in senile skin in coastal Goa. Nepal J Dermatol Venereol Leprol. 2010;9(1):1-6.

Raveendra L. A clinical study of geriatric dermatoses. Our Dermatol Online. 2014;5(3):235–39.

Durai PC, Thappa DM, Kumari R, Malathi M. Aging in elderly: Chronological versus photoaging. Indian J Dermatol. 2012;57(5):343-52.

Thapa DP, Jha AK, Kharel C, Shrestha S. Dermatological problems in geriatric patients: A hospital-based study. Nepal Med Coll J. 2012;14(3):193-5.

Elfaituri SS. Geriatric dermatoses in benghazi, Libya. J Turk Acad Dermatol. 2015;9(3):1593a1.

Sachs DL, Marghoob AA, Halpern A. Skin cancer in the elderly. Clin Geriatr Med. 2001;17(4):739-68.

Grover S, Narasimhalu C. A Clinical Study of skin changes in Geriatric population. Indian J Dermatol. 2009;75(3):305-6.

Farage MA, Miller KW, Berardesca E, Maibach HI. Clinical implications of aging skin: Cutaneous disorders in the elderly. Am J Clin Dermatol. 2009;10(2):73-86.

Dhar S, Datta PK, Malakar R. Pigmentary disorders. In: Valia RG, Valia AR, editors. IADVL Textbook of Dermatology. 3rd edn. Mumbai: Bhalani; 2008: 736-798.