Yap K B, Siew M G, Goh C L
Department of Geriatric Medicine, Tan Tock Seng Hospital, Singapore.
Singapore Med J. 1994 Apr;35(2):147-50.
A retrospective study was conducted at the National Skin Centre (Singapore) for the period 1st January 1990 to 31st December 1990 to determine the pattern of skin disorders in the elderly. A total of 2,571 patients aged 65 years and above were studied. This constituted 6.4% (2,571/39,941) of patients seen at the Centre for that year. 38.1% of the elderly patients were aged 75 years or older. The male to female ratio was 1.3 to 1. There were differences in the pattern of skin problems when compared with the young. Xerosis and asteatotic eczema were distinctly common in the elderly. The most common dermatosis in the elderly was eczema. Endogenous eczema (including seborrhoeic dermatitis, lichen simplex chronicus, hand/feet eczema, stasis eczema, generalised exfoliative dermatitis), exogenous eczema (ie contact dermatitis) and dermatitis (not otherwise specified) formed 35.3% (907/2,571) of the skin disorders encountered at the National Skin Centre. Eczema, fungal, viral infections and psoriasis were on the whole less common in the elderly compared with the general population. Common skin infestations and infections were scabies, viral warts, monilial and bacterial intertrigo and tinea corporis. Urticaria, alopecia, insect bite reactions and post-inflammatory pigmentation were uncommon referral problems in the elderly.
1990年1月1日至1990年12月31日期间，在新加坡国家皮肤中心进行了一项回顾性研究，以确定老年人皮肤病的发病模式。共研究了2571名65岁及以上的患者。这占该中心当年就诊患者的6.4%（2571/39941）。38.1%的老年患者年龄在75岁及以上。男女比例为1.3比1。与年轻人相比，皮肤问题的发病模式存在差异。皮肤干燥和乏脂性湿疹在老年人中明显更为常见。老年人中最常见的皮肤病是湿疹。内源性湿疹（包括脂溢性皮炎、慢性单纯性苔藓、手足湿疹、淤积性皮炎、全身性剥脱性皮炎）、外源性湿疹（即接触性皮炎）和未另作说明的皮炎占国家皮肤中心所诊治皮肤病的35.3%（907/2571）。总体而言，与普通人群相比，湿疹、真菌和病毒感染以及银屑病在老年人中不太常见。常见的皮肤寄生虫感染和感染有疥疮、病毒疣、念珠菌和细菌性擦烂以及体癣。荨麻疹、脱发、昆虫叮咬反应和炎症后色素沉着在老年人中是不常见的转诊问题。
