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LETTER TO EDITOR
Year : 2000  |  Volume : 66  |  Issue : 5  |  Page : 274

Cutaneous physiological and pathological changes in elderly




Correspondence Address:
Adarsh Chopra


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Source of Support: None, Conflict of Interest: None


PMID: 20877103

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How to cite this article:
Chopra A, Kullar J, Chopra D, Dhaliwal S R. Cutaneous physiological and pathological changes in elderly. Indian J Dermatol Venereol Leprol 2000;66:274

How to cite this URL:
Chopra A, Kullar J, Chopra D, Dhaliwal S R. Cutaneous physiological and pathological changes in elderly. Indian J Dermatol Venereol Leprol [serial online] 2000 [cited 2020 Jun 4];66:274. Available from: http://www.ijdvl.com/text.asp?2000/66/5/274/4948


A glance at the statistics shows 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 on the rise. Problems faced by them regarding health are multifactorial and several studies have determined the prevalence of dermatological diseases in the elderly population. [1],[2]

We have also conducted such a study in 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.

Out of 214 patients, 126 (56%) were males and 88 (42%) were females, the male to female ratio was 1.33: 1 one hundred and fourteen (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.

Prevalence of skin disorder was as follows - atopic dermatitis in 40 (18.6%), LSC 29 (13.5%), post herpetic neuralgia 22 (10.3%), psoriasis 12 (5.6%), fungal infections 12 (5.6%), PMLE 12 (5.6%), bacterial infection 10 (4.7%), eczema 6 (2.8%), delusional parasitophobia 6 (2.8%), erythroderma 5 (2.3%), senile pruritus 5 (2.3%), bullous pemphigoid, varicose dermatitis 4 (1.8%), pemphigus vulgaris 4 (1.8%), vitiligo 2 (0.95), 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%),and DPN 7 (7.2%).

The goal of the study was to know the percentage of elderly having dermatological diseases so that we can detect, counsel, treat and protect them at an early age and stage and they can grow old gracefully and live with the process of senescence with dignity.[4]



 
  References Top

1.Beauregard S, Gilchrest BA. A survey of skin problems and skin care regimens in elderly. Arch Dermatol 1987 ; 123: 1638 - 1643.  Back to cited text no. 1  [PUBMED]  
2.Weisman K, Krakaur R, Wanscher B. Prevalence and skin disease in old age. Acta Derm Venereol 1980 ; 60: 350-353.  Back to cited text no. 2    
3.Graham RAC, Ebling FJG. The ages of man and their dermatoses. In: Champion RH, Burton JL, Ebling FJG, editors, Textbook of Dermatology, London, Blackwell Scientific Publication, 1992; 2896.  Back to cited text no. 3    
4.Leyden JJ. Clinical features of aging skin. Br J Dermatol 1990; 122:1-3.  Back to cited text no. 4  [PUBMED]  




 

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