Cvitanović Hrvoje, Knezević Eva, Kuljanac Ilko, Jancić Ervin
Department of dermatology and venereology, General hospital Karlovac, Karlovac, Croatia.
Coll Antropol. 2010 Apr;34 Suppl 2:247-51.
To determine the characteristic pattern and frequency of dermatoses in dermatologic patients over 65 years we used electronic data base of General hospital Karlovac and conducted a retrospective cross sectional study evaluating age, sex and proportion of dermatoses. Total number of patients was 3200. There were 822 (25.69%) patients older than 65 years, and 2378 (74.31%) patients aged from 18-64 years. Ratio male/female in population over 65 years in our study was 0.76:1. Males had higher frequncy of verrucae vulgares 26 (7.3%) and dermatitis nummularis 47 (13.2%) then female and that difference was statistically significant. Female had higher frequency of keratosis acitinca 124 (26.61%) and fibroma 23 (4.94%), and that difference was statistically significant. The ten most common diagnosis in population over 65 years old were: keratosis actinica in 184 patients (22.38%) verrucae seborrhoicae in 156 (18.98%), dermatitits nummularis in 77 patients (9.37%), dermatitis allergica e contactu in 60 (7.30%) patients, mycosis in 56 (6.81%) patients, psoriasis in 51 (6.20%), verrucae vulgares in 39 (4.74%), fibromas in 27 (3.28%), naevi in 9 (1.09%) and acne in 1 (0.12%) patient. The number of patients with diagnosis of keratosis actinica, verrucae seborrhoicae and mycoses in population over 65 years old are greater then in younger subpopulation and that difference was statistically significant. There are specific pattern of frequency of dermatoses in elderly. Verrucae seborrhoica, keratosis actinica and mycoses are more common then in general population. In elderly risk for development of skin cancer is increased. Early detection of skin cancers and treatment of precanceroses is of utmost interest of health providers.
为确定65岁以上皮肤科患者皮肤病的特征模式和发病率，我们使用了卡尔洛瓦茨综合医院的电子数据库，并开展了一项回顾性横断面研究，评估患者的年龄、性别及皮肤病比例。患者总数为3200人。其中，65岁以上患者有822人（占25.69%），18至64岁患者有2378人（占74.31%）。在我们的研究中，65岁以上人群的男女比例为0.76:1。男性的寻常疣发病率较高，为26例（占7.3%），钱币状皮炎发病率为47例（占13.2%），均高于女性，且差异具有统计学意义。女性的光化性角化病发病率较高，为124例（占26.61%），纤维瘤发病率为23例（占4.94%），差异具有统计学意义。65岁以上人群中最常见的十种诊断结果为：光化性角化病184例（占22.38%）、脂溢性疣156例（占18.98%）、钱币状皮炎77例（占9.37%）、过敏性接触性皮炎60例（占7.30%）、真菌病56例（占6.81%）、银屑病51例（占6.20%）、寻常疣39例（占4.74%）、纤维瘤27例（占3.28%）、痣9例（占1.09%）、痤疮1例（占0.12%）。65岁以上人群中被诊断为光化性角化病、脂溢性疣和真菌病的患者数量多于年轻亚组，且差异具有统计学意义。老年人皮肤病的发病率存在特定模式。脂溢性疣、光化性角化病和真菌病比普通人群更为常见。老年人患皮肤癌的风险增加。早期发现皮肤癌和治疗癌前病变是医疗服务提供者最为关注的问题。
