|LETTER TO EDITOR
|Year : 1999 | Volume
| Issue : 5 | Page : 245-246
Skin diseases in the elderly
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Chopra A. Skin diseases in the elderly. Indian J Dermatol Venereol Leprol 1999;65:245-6
| To the Editor|| |
A glance at the statistics show that advanced medical science has contributed to an increase in the average life span. In India in 1992, 6.6% people were above 60 years which by year 2001 is expected to rise to 8.3% With increase in average life span and adoption of small family norms the problems of elderly in terms of economic independence, nutrition and health are multifactorial and several studies have determined the prevalence of dermatological diseases in elderly population.
We have also conducted such a study over 214 patients between the age group 60-85 years attending Skin &VD OPD during Jan 1996 to Dec. 1996 at G.M.C Patiala (Punjab). All patients were assessed on a prescribed proforma. Dermatological, systemic and routine investigations were done in all cases. Histopathological examination was done in relevant cases.
Reported prevalence was out of 214 patients, 126 (56%) male and 88 (42%) females, male to female ratio of 1.33: 1. 114 (51%) patients belonged to rural background and 100 (49%) to urban background. Personal hygiene was poor in 113 (49%) mostly rural cases and satisfactory in 56 (27%) and good in 45 (24%) mostly urban patients.
Prevalences of skin disorders were as follows - Atopic dermatitis in 40 (18.60%), LSC 29 (13.50%, post herpetic neuralgia 22 (10.3%), psoriasis 12 (5.6%), PMLE 12 (5.6%), Bacterial infection 10 (4.7%), eczema 6 (2.8%), delusional parasitophobia 6 (2.8%), etythroderma 5 (2.3%), senile pruritus 5 (2.3%), bullous pemphigoid, varicose dermatitis 4(1.8%), pemphigus vulgaris 4 (1.8%), vitiligo 2 (0.9%), herpes zoster 2 (0.9%), actinic reticuloid 1 (0.5%), xanthelasma 1 (0.5%). malignant melanoma 1 (0.5%). wrinkling 110 (51.7%), xerosis 108 (50.8%,) seborrhoeic keratosis 52 (24.2%), lentigenes 28 (13.1%), DPN 7 (7.2%).
Goal of study was to know the percentage of elderly having dermatological diseases so that we can detect, counsel, treat and protect them at early age and they can grow old gracefully and live with the process of senescence with the process of senescence with dignity.
| References|| |
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|2.||Weisman K, Karkauer R, Wanscher B. Prevalence and skin disease in old age. Acta Derm Venereol 1980;60:350-3530. |
|3.||Graham RAC, Ebling FJG. The ages of man and their dermatoses. In: Textbook of Dermtology, Eds Champion RH, Burton JL, Ebling FJG. Blackwell Scientific Publication, London 1992;2896. |
|4.||Leyden JJ.Clinical features of aging skin. Br J Dermatol 1990;122:1-3. [PUBMED] [FULLTEXT]|