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Skin Diseases in Geriatric Patients: One-year Single Center Experience

Year 2024, , 144 - 151, 01.04.2024
https://doi.org/10.31067/acusaglik.1312484

Abstract

Purpose: The aim of this study was to investigate the distribution and frequency of skin diseases in geriatric age group, as well as the variation of this frequency according to age, sex, and season.
Methods: Data from 1039 geriatric patients admitted to dermatology clinic between January 1, 2022 and January 1,2023 were retrospectively analysed according to sex, age and seasons.
Results: The five most frequently observed disease groups in elderly patients were eczematous dermatitis (22.4%), fungal infections (14.4%), infestations (10.1%), pruritus (6.9%), and premalignant skin lesions (6.4%). The most common five dermatologic diseases in all patients were contact dermatitis (11.16%), scabies (8%), tinea ungium (6.8%), actinic keratosis (6.1%), and generalized pruritus (6.1%), respectively. Generalized pruritus was significantly less frequent in the 65-74 age group compared with the other two groups (p<0.001), whereas fungal infections were significantly more frequent (p=0.001). Malignant lesions were significantly more frequent in the age group ≥85 years than in the other two groups (p<0.001). The incidence of skin ulcers was significantly higher in the age group ≥85 than in the age group 65-74 (p=0.04).
Conclusion: This study revealed a high incidence of scabies in the elderly population, which is an uncommon finding compared to previous studies. This increase reflects the rising incidence of scabies in our country in recent years. Increased awareness of skin diseases among the elderly can contribute to preventive medicine, early diagnosis, and timely treatment of these conditions.

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References

  • 1. Böne F, Girard D, Archambault JC, et al. Skin Changes During Ageing. Subcell Biochem. 2019;91:249-80. doi: 10.1007/978-981-13-3681-2_10.
  • 2. Norman RA. Xerosis and pruritus in the elderly: recognition and management. Dermatol Ther. 2003;16(3):254-9. doi: 10.1046/j.1529-8019.2003.01635.x.
  • 3. United Nations, Department of Economic and Social Affairs. World population aging 2020 highlights. 2020. Available from: https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/undesa_pd-2020_world_population_ageing_highlights.pdf. Accessed May 19, 2023.
  • 4. Lima AL, Timmermann V, Illing T, et al. Contact Dermatitis in the Elderly: Predisposing Factors, Diagnosis, and Management. Drugs Aging. 2019;36(5):411-7. doi: 10.1007/s40266-019-00641-4.
  • 5. Turkish Statistical Institute (TURKSTAT). Elderly population statistics, 2020. 2021. Available from https://data.tuik.gov.tr/Bulten/Index? p=Istatistiklerle-Yaslilar-2020-37227. Accessed May 25,2023.
  • 6. Yalçin B, Tamer E, Toy GG, et al. The prevalence of skin diseases in the elderly: analysis of 4099 geriatric patients. Int J Dermatol. 2006;45(6):672-6. doi: 10.1111/j.1365-4632.2005.02607.x.
  • 7. Bilgili SG, Karadag AS, Ozkol HU, et al. The prevalence of skin diseases among the geriatric patients in Eastern Turkey. J Pak Med Assoc. 2012;62(6):535-9.
  • 8. Yaldiz M. Dermatological diseases in the geriatric age group: Retrospective analysis of 7092 patients. Geriatr Gerontol Int. 2019;19(7):582-5. doi: 10.1111/ggi.13665.
  • 9. Yew YW, Kuan AHY, George PP, et al. Prevalence and burden of skin diseases among the elderly in Singapore: a 15-year clinical cohort study. J Eur Acad Dermatol Venereol. 2022;36(9):1648-59. doi: 10.1111/jdv.18205.
  • 10. Aksoy Sarac G, Emeksiz MAC, Acar O, et al. Retrospective Analysis of Dermatological Diseases in Geriatric Patients During Dermatology Outpatient Department Visits. Dermatol Pract Concept. 2022;12(3):e2022145. doi: 10.5826/dpc.1203a145.
  • 11. Varade RS, Burkemper NM. Cutaneous fungal infections in the elderly. Clin Geriatr Med. 2013;29(2):461-78. doi: 10.1016/j.cger.2013.01.001.
  • 12. Özden MG, Ertürk K, Kartal SP, et al. An extraordinary outbreak of scabies in Turkey. J Eur Acad Dermatol Venereol. 2020;34(12):e818-e820. doi: 10.1111/jdv.16699.
  • 13. Farage MA, Miller KW, Berardesca E, et al. Clinical implications of aging skin: cutaneous disorders in the elderly. Am J Clin Dermatol. 2009;10(2):73-86. doi: 10.2165/00128071-200910020-00001.
  • 14. Phillips TJ. Chronic cutaneous ulcers: etiology and epidemiology. J Invest Dermatol. 1994;102(6):38S-41S. doi: 10.1111/1523-1747.ep12388556.
  • 15. Norman RA. Geriatric dermatology. Dermatol Ther. 2003;16(3):260-8. doi: 10.1046/j.1529-8019.2003.01636.x.
  • 16. Mathew A, Joks RO, Dapul-Hidalgo G. Seasonal Variation in Angioedema and Urticaria in an Inner-City Minority Population. J Allergy Clin Immunol. 2013;131(2):AB27. doi: 10.1016/j.jaci.2012.12.776.
  • 17. Straesser M, Palacios T, Kyin T, et al. Seasonal correlations in chronic urticaria and allergic rhinitis. Ann Allergy Asthma Immunol. 2017;119(5):S39. doi: 10.1016/j.anai.2017.08.142.
Year 2024, , 144 - 151, 01.04.2024
https://doi.org/10.31067/acusaglik.1312484

Abstract

Project Number

None.

References

  • 1. Böne F, Girard D, Archambault JC, et al. Skin Changes During Ageing. Subcell Biochem. 2019;91:249-80. doi: 10.1007/978-981-13-3681-2_10.
  • 2. Norman RA. Xerosis and pruritus in the elderly: recognition and management. Dermatol Ther. 2003;16(3):254-9. doi: 10.1046/j.1529-8019.2003.01635.x.
  • 3. United Nations, Department of Economic and Social Affairs. World population aging 2020 highlights. 2020. Available from: https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/undesa_pd-2020_world_population_ageing_highlights.pdf. Accessed May 19, 2023.
  • 4. Lima AL, Timmermann V, Illing T, et al. Contact Dermatitis in the Elderly: Predisposing Factors, Diagnosis, and Management. Drugs Aging. 2019;36(5):411-7. doi: 10.1007/s40266-019-00641-4.
  • 5. Turkish Statistical Institute (TURKSTAT). Elderly population statistics, 2020. 2021. Available from https://data.tuik.gov.tr/Bulten/Index? p=Istatistiklerle-Yaslilar-2020-37227. Accessed May 25,2023.
  • 6. Yalçin B, Tamer E, Toy GG, et al. The prevalence of skin diseases in the elderly: analysis of 4099 geriatric patients. Int J Dermatol. 2006;45(6):672-6. doi: 10.1111/j.1365-4632.2005.02607.x.
  • 7. Bilgili SG, Karadag AS, Ozkol HU, et al. The prevalence of skin diseases among the geriatric patients in Eastern Turkey. J Pak Med Assoc. 2012;62(6):535-9.
  • 8. Yaldiz M. Dermatological diseases in the geriatric age group: Retrospective analysis of 7092 patients. Geriatr Gerontol Int. 2019;19(7):582-5. doi: 10.1111/ggi.13665.
  • 9. Yew YW, Kuan AHY, George PP, et al. Prevalence and burden of skin diseases among the elderly in Singapore: a 15-year clinical cohort study. J Eur Acad Dermatol Venereol. 2022;36(9):1648-59. doi: 10.1111/jdv.18205.
  • 10. Aksoy Sarac G, Emeksiz MAC, Acar O, et al. Retrospective Analysis of Dermatological Diseases in Geriatric Patients During Dermatology Outpatient Department Visits. Dermatol Pract Concept. 2022;12(3):e2022145. doi: 10.5826/dpc.1203a145.
  • 11. Varade RS, Burkemper NM. Cutaneous fungal infections in the elderly. Clin Geriatr Med. 2013;29(2):461-78. doi: 10.1016/j.cger.2013.01.001.
  • 12. Özden MG, Ertürk K, Kartal SP, et al. An extraordinary outbreak of scabies in Turkey. J Eur Acad Dermatol Venereol. 2020;34(12):e818-e820. doi: 10.1111/jdv.16699.
  • 13. Farage MA, Miller KW, Berardesca E, et al. Clinical implications of aging skin: cutaneous disorders in the elderly. Am J Clin Dermatol. 2009;10(2):73-86. doi: 10.2165/00128071-200910020-00001.
  • 14. Phillips TJ. Chronic cutaneous ulcers: etiology and epidemiology. J Invest Dermatol. 1994;102(6):38S-41S. doi: 10.1111/1523-1747.ep12388556.
  • 15. Norman RA. Geriatric dermatology. Dermatol Ther. 2003;16(3):260-8. doi: 10.1046/j.1529-8019.2003.01636.x.
  • 16. Mathew A, Joks RO, Dapul-Hidalgo G. Seasonal Variation in Angioedema and Urticaria in an Inner-City Minority Population. J Allergy Clin Immunol. 2013;131(2):AB27. doi: 10.1016/j.jaci.2012.12.776.
  • 17. Straesser M, Palacios T, Kyin T, et al. Seasonal correlations in chronic urticaria and allergic rhinitis. Ann Allergy Asthma Immunol. 2017;119(5):S39. doi: 10.1016/j.anai.2017.08.142.
There are 17 citations in total.

Details

Primary Language English
Subjects Dermatology, Geriatrics and Gerontology
Journal Section Research Articles
Authors

Sevgi Kulaklı 0000-0001-7886-1060

Project Number None.
Early Pub Date March 27, 2024
Publication Date April 1, 2024
Submission Date June 10, 2023
Published in Issue Year 2024

Cite

EndNote Kulaklı S (April 1, 2024) Skin Diseases in Geriatric Patients: One-year Single Center Experience. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 15 2 144–151.