Skin disorders among elderly population without comorbidities: a hospital based study


  • Pooja Bains Department of Skin & V.D., Sri Guru Ram Das Institute of Medical Sciences & Research, Amritsar, Punjab, India



Geriatrics, Skin aging, Comorbidities, Eczema


Background: Aging is a permanent and progressive degenerative process which affects all organs of the body, including skin. There is a structural and physiologic transformation that arises as a result of intrinsic aging along with extrinsic damage which makes elderly skin more vulnerable to dermatologic disorders. In this study, we set out to determine the frequency and pattern of dermatological diseases in geriatric patients without chronic systemic illness and comorbidities like diabetes mellitus, hypertension and cardiac illness.

Methods: We enrolled 350 patients of the age 60 years and above who were not suffering from any chronic systemic disease for the study. Baseline information and clinical examination were done to make the diagnosis.

Results: The male: female ratio in our study was 1.14:1. The mean age of presentation was 68 year. The minimum age of patient was 60 years and maximum was 92 years. The most frequently encountered diseases in patients were eczematous dermatitis, fungal infections, scabies, xerosis and pruritus. Among eczemas, seborrheic dermatitis was the most common. Very few patients of solar lentigenes, skin tags and seborrheic keratosis came for dermatological consultation.

Conclusions: Eczemas were the most common dermatological disease in elderly in our study and pruritus was the most frequent complaint for which elderly visited skin Out Patient Department. Most of the diseases could possibly have been prevented.

Author Biography

Pooja Bains, Department of Skin & V.D., Sri Guru Ram Das Institute of Medical Sciences & Research, Amritsar, Punjab, India

Assistant Professor, Dept of Skin & V.D. SGRDIMSR,Amritsar


Yaar M, Gilchrest BA. Aging of skin. In: Wolff K, Goldsmith LA, Katz SI, Paller AS, Leffell DJ et al eds.Fitzpatrick’s Dermatology in General Medicine, 7th edn. NewYork: McGraw-Hill; 1999: 963-973.

Kalar MU, Mustafa SH, Zaidi SSF, Zuhair R, Bano M, Fatima F et al. Skin Disorders in Elderly Population Attending Tertiary Care Hospital in Karachi. Int J Collab Res Intern Med Public Health. 2016;8:382.

Scheinfeld N. Infections in the elderly. Dermatology Online J. 2005;11:8.

Agarwal A, Lubet A, Mitgang E, Mohanty S, Bloom DE. Population Aging in India: Facts, Issues and Options. PGDA Working Paper No 132, Harvard School of Public Health. 2016.

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.

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.

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.

Prakash AV, Davis MD. Contact dermatitis in older adults: a review of the literature. Am J Clin Dermatol. 2010;11(6):373-81.

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

Millington GWM, Graham-Brown RAC. Skin and Skin Disease Throughout Life. In: Tony Burns T, Breathnach S, Cox N, Griffiths C eds. Rooks Textbook of Dermatology, 8th edn. Oxford: Wiley Blackwell; 2010: 8.1-8.29.

Darjani A, Mohtasham-Amiri Z, Mohammad Amini K, Golchai J, Sadre-Eshkevari S, Alizade N. Skin disorders among elder patients in a referral center in Northern Iran. Dermatol Res Pract. 2013: 193205.






Original Research Articles