DOI: http://dx.doi.org/10.18203/issn.2455-4529.IntJResDermatol20192873

Pattern of dermatoses in elderly at tertiary care center, Jaipur, Rajasthan, India

Ankit Mehra, Anju Depan, Ashok Meherda, Deepak Bohara

Abstract


Background: The population of India is currently moving towards and old age structure. The Indian elderly population 60 and older is currently the second largest in the world. During aging, structural and functional changes of the skin system are observed. Among the elderly, the number of cells decreases and the cell-renewing slows down in the epidermis. The skin water retention capacity decreases as well. Social and psychological circumstances also influence skin in old age.

Methods: A cross-sectional study was conducted in out-patient Department of Dermatology, Venereology and Leprosy, Mahatma Gandhi Medical College and Hospital, Jaipur (Rajasthan) for a period of 18 months from January 2016 to June2017. A total of 1100 elderly were included in the study.

Results: Out of 1100 total elderly patients 622 (56.50%) were males and 478 (43.50%) were females. Maximum number of males (322; 29.27%) as well as females (244; 22.18%) belonged to 65-70 years age group. Out of total 3138 diagnosis, the most common physiological changes secondary to aging process were graying of hair (1100; 35.05%) and wrinkling (1100; 35.05%). Out of the total 3256 diagnosis, the relative incidence of benign tumors was maximum (1626; 49.94%).

Conclusions: Good general care of the elderly including nutritional diet, proper clothing, moderate physical activity and personal hygiene will improve many of their dermatoses and help in prevention of cases of dermatitis and infections.


Keywords


Elderly, Dermatosis, Aging, Xerosis, Greying of hair

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References


The World Health Organization. Health statistics and information systems. Proposed working definition of an older person in Africa for the MDS Project. Available at: https://www.who.int/ healthinfo/survey/ageingdefnolder/en/. Accessed on 29 April 2019.

The World Health Organization. Health topic: ageing Available at: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health. Accessed on 30 April 2019.

The Hindu. India’s population grew at 1.2% average annual rate between 2010 and 2019: UN report. Available at: https://www.thehindu.com/news/ national/indias-population-grew-at-12-average-annual-rate-between-2010-and-2019-un-report/article26802684.ece Accessed on 30 April 2019.

Population Composition. Available at: http://censusindia.gov.in/vital_statistics/SRS_Report/9Chap%202%20-%202011.pdf Accessed on 30 April 2019.

Times of India. Indian elderly population to cross 340 million by 2050, is India ageing faster than we thought? Mirror Now Digital. Available at https://www.timesnownews.com/mirror-now/ society/article/indian-elderly-population-to-cross-340-million-by-2050-is-india-ageing-faster-than-we-thought/268243 Accessed on 30 April 2019.

Swain P, Sherin Raj TP. Demography of aging in India: State and District level analysis. Indian J Gerontol. 2005;19:327-42.

Ingle GK, Nath A: Geriatric health in India: Concerns and Solutions. Indian J Community Med. 2008;33:214-8.

Johnson M-LT. Skin conditions and Related Need for Medical Care Among Persons 1-74 years, United States, 1971-74. Vital Health Statistics. Series 11, Data from the National Health Survey; no. 212, DHEW Publication No. (PHS) 79-1660. Hyattsville, ML: US Department of Health, Education and Welfare, 1978.

Sayal SK, Rajbhandari S, Malik AK, Gupta CM.. A study of dermatological disorders in geriatric age group. Indian J Dermatol Venereol Leprol. 1998;64:270-72.

Yaar M, Gilchrest BA. Aging of skin. In: Wolff K, Goldsmith LA, Katz SI, eds. “Fitzpatricks’ Dermatology in Gereral Medicine, 7th edn. New York: McGrwa Hill Publication; 2008: 963-973.

Droller H. Dermatologic findings in a random sample of old persons. Geriatrics. 1955;10:421-4.

Young AW. Dermatologic complaints presented by 330 geriatric patients. Geriatrics. 1958;13:428-34.

Yadav DK. The Dissertation submitted to the University of Rajasthan for the degree of Doctor of Medicine on Pattern of geriatric dermatoses in North-West Rajasthan, 2002.

Grover S, Narasimhalu C. A clinical study of skin changes in geriatric population. Indian J Dermatol Venerol Leprol. 2009;75:305-6.

Patange SV, Fernandez RJ. A study of geriatric dermatosis. Indian J Dermatol Venereol Leprol. 1995;61:206-8.

Chopra A. Skin diseases in the elderly. Indian J Dermatol Venerol Leprol. 1999;65:245-6.

Sahoo A, Singh P, Pattniak P, Panigrahi RK. Geriatric dermatoses in southern Orissa. Indian J Dermatol. 2000;45:66-8.