Kumar Dhiraj, Das Anupam, Bandyopadhyay Debabrata, Chowdhury Satyendra N, Das Nilay K, Sharma Preeti, Kumar Amit
Consultant Dermatologist, Dermawave, Patna, Bihar, India.
Department of Dermatology, KPC Medical College and Hospital, Kolkata, West Bengal, India.
Indian J Dermatol. 2021 Jan-Feb;66(1):74-80. doi: 10.4103/ijd.IJD_245_20.
Elderly population is vulnerable to develop a multitude of dermatological diseases, owing to comorbidities and polypharmacies.
To know the prevalence of dermatological conditions in elderly patients attending outpatient department, determine the pattern and relative frequency of skin diseases, and find the relation with associated comorbidities.
We performed a cross-sectional study on 250 patients, aged ≥60 years. Clinical diagnosis was done, followed by appropriate investigations when required. Descriptive data was analyzed on the parameters of range, mean ± S.D., frequencies, etc., Continuous variables were analyzed using unpaired -test/Mann-Whitney U test and categorical data by Fisher's exact test/Chi-square test. Statistical software Medcalc version 10.2.0.0 for Windows vista was used. value =0.05 was considered statistically significant.
250 patients were evaluated, 164 males (65.5%) and 86 females (34.4%). Mean age was 67.87 ± 7.29 years. Commonest disease category was infection (30%), followed by dermatitis (29.6%), papulo-squamous (18.4%), and immunobullous (6.4%). Difference in acute and chronic disease was significant ( = 0.0001). 30% had infections; fungal (50.66%), bacterial (32%), and viral (17.33%). 74 patients had dermatitis (29.6% of study population). Commonest systemic disease was hypertension (23.2%), followed by diabetes mellitus (19.6%). Association of diabetes mellitus was significant ( = 0.0014), more in infective dermatoses ( = 0.0007). All had signs of aging; idiopathic guttate hypomelanosis (51.2%), xerosis (45.2%), seborrheic keratosis (42.6%), cherry angioma (33.2%), senile acne (6.6%). Photoaging was noted as wrinkling (98.8%), freckles (35.6%), purpura (10.8%), telangiectasia (5.6%). People involved in outdoor activity had higher Glogau scale (3.01 ± 0.69) compared to those indoors (2.44 ± 0.74), statistically significant difference ( = 0.001).
Our study is the first of its kind, in Eastern India, where we evaluated and explored the disease pattern and extent of geriatric dermatoses among patients attending dermatology OPD of a tertiary care hospital.
由于合并症和多种药物治疗，老年人群易患多种皮肤病。
了解门诊老年患者皮肤病的患病率，确定皮肤病的类型和相对频率，并找出与相关合并症的关系。
我们对250名年龄≥60岁的患者进行了一项横断面研究。进行临床诊断，必要时进行适当的检查。对范围、均值±标准差、频率等参数进行描述性数据分析。连续变量采用非配对t检验/曼-惠特尼U检验分析，分类数据采用费舍尔精确检验/卡方检验分析。使用适用于Windows vista的统计软件Medcalc版本10.2.0.0。P值=0.05被认为具有统计学意义。
对250名患者进行了评估，其中男性164名（65.5%），女性86名（34.4%）。平均年龄为67.87±7.29岁。最常见的疾病类别是感染（30%），其次是皮炎（29.6%）、丘疹鳞屑性疾病（18.4%）和免疫性大疱病（6.4%）。急性和慢性疾病的差异具有统计学意义（P = 0.0001）。30%的患者有感染；真菌性感染（50.66%）、细菌性感染（32%）和病毒性感染（17.33%）。74名患者患有皮炎（占研究人群的29.6%）。最常见的全身性疾病是高血压（23.2%），其次是糖尿病（19.6%）。糖尿病的相关性具有统计学意义（P = 0.0014），在感染性皮肤病中更为明显（P = 0.0007）。所有患者均有衰老迹象；特发性点状色素减退症（51.2%）、皮肤干燥（45.2%）、脂溢性角化病（42.6%）、樱桃状血管瘤（33.2%）、老年性痤疮（6.6%）。光老化表现为皱纹（98.8%）、雀斑（35.6%）、紫癜（10.8%）、毛细血管扩张（5.6%）。与室内活动的人相比，户外活动的人Glogau分级更高（3.01±0.69），差异具有统计学意义（P = 0.001）。
我们的研究是印度东部首例此类研究，我们评估并探讨了三级护理医院皮肤科门诊患者中老年皮肤病的疾病模式和范围。
