Section of Dermatology, Department of Clinical Medicine and Immunological Sciences, University of Siena, Siena, Italy.
G Ital Dermatol Venereol. 2012 Dec;147(6):631-6.
With the progressive aging of the Italian population, geriatric health care has become a major issue for health authorities. However, little data is available regarding geriatric skin diseases. In order to provide rapid access to specialist help, in 2003 we created a dermatology clinic dedicated only to geriatric patients age 65 and older.
To determine the characteristic pattern and the prevalence of various skin disorders among the geriatric patients seen at the clinic, we performed a retrospective and descriptive study of all skin diseases in patients seen in our office from January 2003 to December 2009. We evaluated: age, proportion and gender for all skin disease categories.
A total of 2100 geriatric patients were examined. The male to female ratio was 1.4 to 1. The most common disorder was pruritus "sine materia" (18.9%) followed by benign tumors (13.5%); 9.1% of our patients presented with actinic keratoses and 13.2% with malignant tumors. As reported by others, the quality of life in patients with skin cancer was better than patients with rashes as skin cancer patients tended to wait longer before seeking specialist care. To improve the assessment of skin diseases, we often worked closely with
The prevalence of skin diseases in our patients emphasized the importance of educating the elderly about sun protection, the early detection of skin cancer, the use of emollients and proper skin care in general.
随着意大利人口的老龄化，老年保健已成为卫生当局的一个主要问题。然而，关于老年皮肤疾病的数据却很少。为了提供快速获得专家帮助的途径，我们于 2003 年创建了一个专门为 65 岁及以上老年患者服务的皮肤科诊所。
为了确定在我们诊所就诊的老年患者中各种皮肤疾病的特征模式和流行情况，我们对 2003 年 1 月至 2009 年 12 月期间在我们办公室就诊的所有皮肤疾病患者进行了回顾性和描述性研究。我们评估了：所有皮肤疾病类别的年龄、比例和性别。
共检查了 2100 名老年患者。男女比例为 1.4 比 1。最常见的疾病是无明显原因的瘙痒症（18.9%），其次是良性肿瘤（13.5%）；9.1%的患者有光化性角化病，13.2%的患者有恶性肿瘤。与其他人的报告一样，皮肤癌患者的生活质量比皮疹患者好，因为皮肤癌患者往往在寻求专家治疗前等待更长时间。为了改善皮肤疾病的评估，我们经常与其他医生密切合作。
我们患者的皮肤疾病患病率强调了向老年人宣传防晒、早期发现皮肤癌、使用保湿剂和一般适当的皮肤护理的重要性。
