Evaluation of Geriatric Patients Admitted to the Dermatology Outpatient Clinic for Treatment of Facial Dermatosis: A Retrospective Study

Ayşe Nilhan Atsü; Nazli Caf; Ozan Yıldırım; Bilgen Erdoğan

doi:10.31067/acusaglik.1066616

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Evaluation of Geriatric Patients Admitted to the Dermatology Outpatient Clinic for Treatment of Facial Dermatosis: A Retrospective Study

Year 2022, , 225 - 233, 15.03.2022

Ayşe Nilhan Atsü , Nazli Caf , Ozan Yıldırım Bilgen Erdoğan

https://doi.org/10.31067/acusaglik.1066616

Abstract

Purpose: Skin is the human body’s largest organ, and it has essential social, sexual, and psychological roles. Especially the effect of this fact on visible body parts such as the face is obvious. The elderly population is increasing all over the world, and medical treatment for these senior citizens’ dermatological complaints is more frequent in Turkey as elsewhere. The aim of this study is to report the age group, gender distribution and dermatological diseases of the geriatric population admitted to our dermatology outpatient clinic, which is a tertiary referral center for any facial skin complaint.
Methods: This retrospective study included 302 patients aged 65 and over with facial skin complaints. The age, disease frequency, gender and localization distribution of the patients were examined. SPSS package program was used for data analysis.
Results: There was a significant difference between the diagnoses groups of the participants in terms of gender and age groups. The most common facial dermatoses in this population examined were basal cell carcinoma (BCC), actinic keratosis (AK), seborrheic keratosis (SK), rosacea, urticaria, and benign skin and skin appendage tumors.
Conclusion: As the geriatric population is increasing all over the world, recognition of skin diseases is becoming increasingly important. Facial dermatoses are especially a concern because of how they affect the appearance and expression of persons in this age group.

Keywords

Basal cell carcinoma, facial dermatosis, geriatrics, rosacea

References

1. Darjani A, Alizadeh N, Rafiei E, Moulaei M, Naseri Alavi SH, Eftekhari H, et al. Skin Diseases among the Old Age Residents in a Nursing Home: A Neglected Problem. Dermatol Res Pract. 2020;2020.
2. Newberry I, Cerrati EW, Thomas JR. Facial Plastic Surgery in the Geriatric Population. Otolaryngol Clin North Am [Internet]. 2018;51(4):789–802. Available from: https://doi.org/10.1016/j.otc.2018.03.013
3. Kowalewska B, Jankowiak B, Krajewska-Kułak E, Khvorik DF, Niczyporuk W. Quality of life in skin diseases as perceived by patients and nurses. Postep Dermatologii i Alergol. 2021;37(6):956–61.
4. Alpsoy E, Polat M, Fettahlıoglu-Karaman B, Karadag AS, Kartal-Durmazlar P, YalCın B, et al. Internalized stigma in psoriasis: A multicenter study. J Dermatol. 2017;44(8):885–91.
5. Chesser AK, Keene Woods N, Smothers K, Rogers N. Health Literacy and Older Adults. Gerontol Geriatr Med. 2016;2:233372141663049. 6. Besra L, Jaisankar TJ, Thappa DM, Malathi M, Kumari R. Spectrum of periorbital dermatoses in South Indian population. Indian J Dermatol Venereol Leprol. 2013;79(3):399–407.
7. Godoy A, Ishii M, Byrne PJ, Boahene KDO, Encarnacion CO, Ishii LE. How facial lesions impact attractiveness and perception: Differential effects of size and location. Laryngoscope. 2011;121(12):2542–7.
8. Tindall JP, Smith J. Skin Lesions of the Aged and Their Association With Internal Changes. JAMA J Am Med Assoc. 1963;186(12):1039–42.
9. Patange VS FR. A study of geriatric dermatoses. Indian J Dermatol Venereol Leprol. 1995;61(4):206–8.
10. John A. McGrath JU. Rook’s Textbook of Dermatology. In: Christopher E. M. Griffiths MD, FRCP, FMedSci. Jonathan Barker MD, FRCP, FRCPath. Tanya Bleiker FRCP. Robert Chalmers FRCP. Daniel Creamer MD F, editor. Rook’s Textbook of Dermatology. 9th ed. UK: John Wiley & Sons, Ltd; 2016.
11. McFadden, N; Hande KO. A survey of elderly new patients at a dermatology outpatient clinic. Acta Derm Venereol. 1989;69(3):260–2.
12. Garcovich S, Colloca G, Sollena P, Bellieni A, Balducci L, Cho WC, et al. Skin cancer epidemics in the elderly as an emerging issue in geriatric oncology. Aging Dis. 2017;8(5):643–61.
13. Oda T, Kato H, Watanabe S, Morita A. Facial site distribution of basal cell carcinoma in Japanese. Exp Dermatol. 2019;28(October 2018):69–71.
14. Helsing P, Gjersvik P, Tarstedt M. Treatment of basal cell carcinoma in Scandinavia: Evidence or eminence based? Int J Dermatol. 2015;54(9):1030–3.
15. Cameron MC, Lee E, Hibler BP, Barker CA, Mori S, Cordova M, et al. Basal cell carcinoma: Epidemiology; pathophysiology; clinical and histological subtypes; and disease associations. J Am Acad Dermatol [Internet]. 2019;80(2):303–17. Available from: https://doi.org/10.1016/j.jaad.2018.03.060
16. Ceylan C, Oztürk G, Alper S. Non-melanoma skin cancers between the years of 1990 and 1999 in Izmir, Turkey: Demographic and clinicopathological characteristics. J Dermatol. 2003;30(2):123–31.
17. Suárez B, López-Abente G, Martínez C, Navarro C, Tormo MJ, Rosso S, et al. Occupation and skin cancer: The results of the HELIOS-I multicenter case-control study. BMC Public Health. 2007;7:1–13.
18. Skudlik C. JSM. Occupational Dermatoses. In: Gerd Plewig, Lars French, Thomas Ruzicka, Roland Kaufmann MH, editor. Braun-Falco´s Dermatology. Berlin, Heidelberg: Springer, Berlin, Heidelberg; 2020.