Study of clinical patterns and frequency of cutaneous manifestations in the elderly

Authors

  • Gaurav Paliwal Department of DVL, Era’s Lucknow Medical College and Hospital, Lucknow, India
  • Kshitij Saxena Department of DVL, Era’s Lucknow Medical College and Hospital, Lucknow, India
  • Venkatarao Koti Department of DVL, Era’s Lucknow Medical College and Hospital, Lucknow, India
  • Priyanka Shukla Department of DVL, Era’s Lucknow Medical College and Hospital, Lucknow, India
  • Shobhit Dutt Department of DVL, Era’s Lucknow Medical College and Hospital, Lucknow, India
  • Shams Zia Usmani Department of DVL, Era’s Lucknow Medical College and Hospital, Lucknow, India
  • Chandni Jain Department of DVL, Era’s Lucknow Medical College and Hospital, Lucknow, India
  • Ayesha Khalid Department of DVL, Era’s Lucknow Medical College and Hospital, Lucknow, India

DOI:

https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20190065

Keywords:

Elderly, Wrinkling, Benign tumours, Eczema, Infections, Infestations

Abstract

Background: Cutaneous manifestations are common in elderly. The elderly population is composed of persons over 60 years of age and very few studies are available on the dermatologic diseases in this group. This study was done to study the clinical pattern and frequency of cutaneous manifestations in the elderly.

Methods: A cross sectional observational study was conducted on 540 patients, aged 60 years and above, who attended the out-patient department and admitted as inpatients having cutaneous manifestations were included, in the department of dermatology Era’s Lucknow Medical College And Hospital, Lucknow.  A detailed history was taken regarding the onset and duration of cutaneous manifestations. Thorough dermatological examination was carried out on all study patients. Relevant investigations which included haemogram, biochemical tests and a skin biopsy were performed, wherever needed. Skin changes in all the patients were recorded and were classified into physiological and pathological changes. Data were entered in an Excel sheet and were analyzed using descriptive statistics.

Results: Out of 540 patients studied, 55.7% were males and 44.3% were females. Pruritus was the single most common complaint elicited (90.6%). Among the physiological changes, wrinkling was the commonest (80.9%). Among the pathological changes skin tumours, eczemas, infections were the common findings.

Conclusions: The geriatric dermatoses are different in different populations, as there is significant number of geriatric population, the increased emphasis on geriatric medicine is   inevitable.  This    present study helps in providing greater understanding of pattern of geriatric dermatoses that aids in early diagnosis and management.

Author Biographies

Gaurav Paliwal, Department of DVL, Era’s Lucknow Medical College and Hospital, Lucknow, India

Junior Resident, Department of Dermatology, Venereology and Leprosy, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India

Kshitij Saxena, Department of DVL, Era’s Lucknow Medical College and Hospital, Lucknow, India

Associate Professor

Department of Dermatology, Venereology and Leprosy, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India

Venkatarao Koti, Department of DVL, Era’s Lucknow Medical College and Hospital, Lucknow, India

Professor, Department of Dermatology, Venereology and Leprosy, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India

Priyanka Shukla, Department of DVL, Era’s Lucknow Medical College and Hospital, Lucknow, India

Associate Professor, Department of Microbiology, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India

Shobhit Dutt, Department of DVL, Era’s Lucknow Medical College and Hospital, Lucknow, India

Ex.Resident, Department of Dermatology, Venereology and Leprosy, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India

Shams Zia Usmani, Department of DVL, Era’s Lucknow Medical College and Hospital, Lucknow, India

Junior Resident, Department of Dermatology, Venereology and Leprosy, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India

Chandni Jain, Department of DVL, Era’s Lucknow Medical College and Hospital, Lucknow, India

Junior Resident, Department of Dermatology, Venereology and Leprosy, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India

Ayesha Khalid, Department of DVL, Era’s Lucknow Medical College and Hospital, Lucknow, India

Junior Resident, Department of Dermatology, Venereology and Leprosy, Era’s Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India

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Published

2019-01-25

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Original Research Articles