Valdes-Rodriguez Rodrigo, Mollanazar Nicholas K, González-Muro Jorge, Nattkemper Leigh, Torres-Alvarez Bertha, López-Esqueda Francisco Javier, Chan Yiong-Huak, Yosipovitch Gil
Department of Dermatology and Itch Center, Temple University School of Medicine, Philadelphia, PA, USA.
Acta Derm Venereol. 2015 Apr;95(4):417-21. doi: 10.2340/00015555-1968.
A cross-sectional study of geriatric patients was performed to provide a comprehensive description of the prevalence and clinical characteristics of chronic itch affecting Hispanic geriatric subjects in Mexico. Participants were recruited from both nursing homes and geriatric ambulatory care centers. Patients without dementia were evaluated using an itch intensity and characteristic questionnaire and were assessed for itch-related dermatoses (n = 302). Data on medications and underlying systemic diseases were obtained from medical records. The prevalence of chronic itch was 25% in this population. Of those with chronic itch, 69% had xerosis, 28% had itch-related dermatoses, and 96% had documented comorbidities. The most common comorbidities were diabetes mellitus (OR = 2.3, 95% CI 1.3-3.9, p = 0.003) and chronic venous insufficiency (OR = 4.4, 95% CI 1.6-12.2, p = 0.002). The most common areas where patients experienced itch were legs (54%), back (45%), scalp (28%) and arms (27%). Patients experienced the greatest amount of itch in the winter (77%) and during the night (65%). Chronic itch is a common problem in the studied Hispanic geriatric population, and its presence significantly correlates with xerosis, diabetes, and venous insufficiency.
对老年患者进行了一项横断面研究,以全面描述影响墨西哥西班牙裔老年受试者的慢性瘙痒的患病率和临床特征。参与者从疗养院和老年门诊护理中心招募。对无痴呆症的患者使用瘙痒强度和特征问卷进行评估,并评估与瘙痒相关的皮肤病(n = 302)。从病历中获取药物和潜在系统性疾病的数据。该人群中慢性瘙痒的患病率为25%。在患有慢性瘙痒的患者中,69%有皮肤干燥,28%有与瘙痒相关的皮肤病,96%有合并症记录。最常见的合并症是糖尿病(OR = 2.3,95%CI 1.3 - 3.9,p = 0.003)和慢性静脉功能不全(OR = 4.4,95%CI 1.6 - 12.2,p = 0.002)。患者出现瘙痒的最常见部位是腿部(54%)、背部(45%)、头皮(28%)和手臂(27%)。患者在冬季(77%)和夜间(65%)瘙痒最为严重。慢性瘙痒在所研究的西班牙裔老年人群中是一个常见问题,其存在与皮肤干燥、糖尿病和静脉功能不全显著相关。