Agarwal Reetu, Sharma Loknandani, Chopra Ajay, Mitra Debdeep, Saraswat Neerja
Department of Dermatology, Base Hospital, Delhi Cantt, India.
Indian Dermatol Online J. 2019 Aug 28;10(5):524-529. doi: 10.4103/idoj.IDOJ_282_18. eCollection 2019 Sep-Oct.
Geriatric dermatoses are one of the most common reasons for day-to-day consultation in the elderly. Over the past few years, understanding of the pathophysiology of skin changes in the geriatric age group has improved and has paved the way for better therapeutic options. There are only a few studies conducted in India about the geriatric dermatoses. This article reviews the various physiological and pathological changes of aging, dwelling on the role of intrinsic and extrinsic factors in the pathogenesis of aging skin thus better understanding of this emerging branch in dermatology leading to enhance resource management for elderly population.
This is a cross-sectional observational study carried out on 500 consecutive patients aged 60 years and above in Department of Dermatology of a Tertiary care hospital of Northern India after meeting the inclusion and exclusion criteria.
Out of 500 patients studied with male to female ratio of 1.4, wrinkles followed by cherry angiomas were the most common physiological cutaneous manifestations, and infective dermatoses followed by allergic contact dermatitis were the most common pathological conditions seen. Few rare cases were also seen during the study such as cutis marmorata, delusion of parasitosis, and sweet syndrome in case of acute myeloid leukemia.
Geriatric dermatology is an emerging branch in dermatology, and an update on this, will go a long way to effectively manage these patients. A thorough knowledge of the epidemiology as well as gender distribution of dermatological diseases in geriatric population in the tertiary care hospital will help in assessing health status and health care needs related to skin for better allocation of resources, distribution of material and manpower, and help health care providers in better decision-making resulting in higher clientele satisfaction.
老年皮肤病是老年人日常就诊的最常见原因之一。在过去几年中，对老年人群皮肤变化病理生理学的认识有所提高，为更好的治疗选择铺平了道路。在印度，关于老年皮肤病的研究较少。本文回顾了衰老的各种生理和病理变化，详述了内在和外在因素在皮肤衰老发病机制中的作用，从而更好地理解这一皮肤病学新兴分支，以加强对老年人群的资源管理。
这是一项横断面观察性研究，在印度北部一家三级护理医院皮肤科，对500例连续入选且符合纳入和排除标准的60岁及以上患者进行研究。
在研究的500例患者中，男女比例为1.4，皱纹其次是樱桃状血管瘤是最常见的生理性皮肤表现，感染性皮肤病其次是过敏性接触性皮炎是最常见的病理状况。在研究期间还发现了一些罕见病例，如大理石样皮肤、寄生虫妄想症以及急性髓系白血病患者的Sweet综合征。
老年皮肤病学是皮肤病学中的一个新兴分支，对其进行更新将对有效管理这些患者大有帮助。深入了解三级护理医院中老年人群皮肤病的流行病学以及性别分布，将有助于评估与皮肤相关的健康状况和医疗保健需求，以便更好地分配资源、调配物资和人力，并帮助医疗保健提供者做出更好的决策，从而提高患者满意度。
