Polat Muhterem, İlhan Mustafa N
Assoc. Prof. Muhterem Polat, MD, Gazi University School of Medicine, Department of Dermatology, Ankara, Turkey;
Acta Dermatovenerol Croat. 2015;23(4):277-81.
The geriatric population is continuously growing, which leads to more aged patients being admitted to dermatology clinics. The aim of this study is to determine the dermatological complaints of the elderly attending a dermatology outpatient clinic. All of the patients aged 65 years and older admitted to our dermatology outpatient clinic over a 1-year period were included. Patients were divided into 2 groups according to their ages as group I (65-74 years) and group II (≥75 years). The patients were asked about their dermatologic complaints. A total of 240 geriatric patients attended to the dermatology outpatient clinic over a 1-year period. Overall, the five most frequent dermatologic complaints of the patients were eczematous dermatitis (21.7%), pruritus (19.6%), fungal infections (16.7%), precancerous and malignant lesions (9.6%), and bacterial infections (7.1%). The most frequent types of eczematous dermatitis were asteatotic eczema (26.9%), neurodermatitis (26.9%), and stasis dermatitis (17.3%). Among fungal infections, the most frequent was tinea pedis (62.5%), followed by onychomycosis (32.5%) and tinea versicolor (5.0%). The most common precancerous lesion was actinic keratosis (78.3%). Bacterial infections encountered were pyoderma (58.8%), cellulitis (23.5%), and erythrasma (17.6%). Most of the skin problems in the elderly are preventable or treatable, so proper skin care and treatment of skin diseases should be emphasized in general health care for the elderly.
老年人口持续增长,这导致更多老年患者前往皮肤科诊所就诊。本研究的目的是确定在皮肤科门诊就诊的老年人的皮肤问题。纳入了在1年期间内入住我们皮肤科门诊的所有65岁及以上的患者。根据年龄将患者分为两组,即I组(65 - 74岁)和II组(≥75岁)。询问患者他们的皮肤问题。在1年期间,共有240名老年患者前往皮肤科门诊就诊。总体而言,患者最常见的五种皮肤问题是湿疹性皮炎(21.7%)、瘙痒症(19.6%)、真菌感染(16.7%)、癌前病变和恶性病变(9.6%)以及细菌感染(7.1%)。湿疹性皮炎最常见的类型是乏脂性湿疹(26.9%)、神经性皮炎(26.9%)和淤积性皮炎(17.3%)。在真菌感染中,最常见的是足癣(62.5%),其次是甲癣(32.5%)和花斑癣(5.0%)。最常见 的癌前病变是光化性角化病(78.3%)。遇到的细菌感染有脓疱病(58.8%)、蜂窝织炎(23.5%)和红癣(17.6%)。老年人的大多数皮肤问题是可预防或可治疗的,因此在老年人的一般医疗保健中应强调适当的皮肤护理和皮肤病的治疗。