Aksoy Sarac Gulhan, Emeksiz Mehmet Ali Can, Acar Onur, Nazlican Ersin, Tanacan Efsun, Nayir Tufan
Department of Dermatology and Venereology, Ufuk University Hospital, Ankara, Turkey.
Ağrı Provincial Health Directorate, Republic of Turkey Ministry of Health, Ağrı, Turkey.
Dermatol Pract Concept. 2022 Jul 1;12(3):e2022145. doi: 10.5826/dpc.1203a145. eCollection 2022 Jul.
The elderly population is vulnerable to experience a great number of dermatological diseases thanks to the intrinsic and extrinsic process of aging.
The aim of this study is to retrospectively investigate the prevalence of dermatological diseases in geriatric patients, their distribution by age and gender, and to provide a reference for studies on aging and skin problems.
In the present study, patients who reported to the dermatology outpatient clinic between January 1 2019, and January 1 2021, were evaluated retrospectively. As a result of examining the records of patients, 887 patients over the age of 65 who met the study protocol were included.
The three most common diseases in all geriatric patients were fungal infections, eczematous dermatitis, and pruritus. Fungal infections were frequent in males and the 65-74 age group. In the males, the more frequent were precancerous lesions and malignant neoplasms, whereas in the females it was urticaria and adverse drug reactions. In the logistic regression model, the risk of fungal infection in geriatric patients was increased by being male (odds ratio 1.55, P = 0.006) and being in the range of 65-74 years old (odds ratio 1.46, P = 0.025). Male patients were at significantly higher risk for precancerous and malignant lesions (OR:2.81 P < 0.001) and actinic keratosis (odds ratio 3.26, P < 0.001) in this disease group.
Men are more vulnerable to life-threatening skin diseases. It is important to determine risk factors for individuals who are more sensitive to environmental factors in terms of increasing the quality of life and protection from diseases.
由于内在和外在的衰老过程，老年人群易患大量皮肤病。
本研究旨在回顾性调查老年患者皮肤病的患病率、按年龄和性别分布情况，并为衰老与皮肤问题的研究提供参考。
在本研究中，对2019年1月1日至2021年1月1日期间到皮肤科门诊就诊的患者进行回顾性评估。通过检查患者记录，纳入了887名符合研究方案的65岁以上患者。
所有老年患者中最常见的三种疾病是真菌感染、湿疹性皮炎和瘙痒症。真菌感染在男性和65 - 74岁年龄组中较为常见。男性中，癌前病变和恶性肿瘤更为常见，而女性中则是荨麻疹和药物不良反应。在逻辑回归模型中，老年患者真菌感染的风险因男性（比值比1.55，P = 0.006）和年龄在65 - 74岁之间（比值比1.46，P = 0.025）而增加。在该疾病组中，男性患者患癌前和恶性病变（OR:2.81，P < 0.001）以及光化性角化病（比值比3.26，P < 0.001）的风险显著更高。
男性更容易患危及生命的皮肤病。确定对环境因素更敏感的个体的风险因素对于提高生活质量和预防疾病很重要。
