The Prevalence of Skin Disease Among Geriatric Patients Attending Erbil Dermatology Center in Erbil City

Inas Abdul Majeed  Abdul Qader; Mohammed Yousif  Saeed

doi:10.56056/amj.2019.72

Authors

Inas Abdul Majeed Abdul Qader M.B.Ch.B. Trainee of KHCMS-Dematology program/Erbil dermatology teaching center
Mohammed Yousif Saeed M.B.Ch.B, FIBMS (Dermatology), ISDS, ESLDC Assistant Prof., University of Sulaymaniyament of dermatology Head of Sulaymaniyah dermatology teaching Center Program director of Kurdistan board of dermatologyh, College of Medicine; Head of the depart-

DOI:

https://doi.org/10.56056/amj.2019.72

Keywords:

Elderly, Geriatric patients, Skin diseases, Skin aging

Abstract

Background and objectives:Worldwide, the elderly population is in continuous increase. This increase needs to shed light on the frequency, age & gender distribution of cutaneous disorders in geriatric patients older than 65 years old. There are limited studies on skin diseases in elderly populations. This cross-sectional study aimed to investigate the prevalence of skin diseases in the elderly patients.

Methods:This study done for all geriatric patients from both sexes with a dermatologic complaint attending Erbil dermatology teaching center outpatient clinics & those at infirmary, Full medical history was taken and complete general and dermatological examination were done. Patients were further subdivided into three groups according to their ages; in which group A included patients (65-74 years old), group B included patients (75-85years old) & group C (more than 85years old). The average duration for data collection was within one year.

Results: Among 311 males (59.7%) & 210 females (40.3%) ; xerosis was the commonest presenting signs (90.79% of cases) and the most common cutaneous disorders were as follow; dermatitis 35.3% ( asteatotic dermatitis was the commonest 35.9% ),skin infections (20.2%) (Fungal infection comprised 69.5%), papulosquamous disease (11.9%) (Psoriasis comprised 69.4%) & skin tumors represent 9.6% (most common was actinic keratosis 44%) . Pigmentary changes, pruritis & neurocutaneous disorder, immunobollous diseases, peripheral vascular diseas- es, miscellaneous disorders were as following: 3.8%, 7.7%, 1.9%, 3.8% and 5.8% respectively.

Conclusions:Cutane- ous disorders especially dermatitis are among those important health problems in elderly patients in this geographic area. Increasing general awareness about risk factors of these diseases and doing more researches in other regions are highly recommended.

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References

Wey S, Chen D. Common cutaneous disorder of elderly. Journal of Clinical Gerontology and Geriatrics;1(2),36-41,2010 - Elsevier.

Durai P, Thappa DM, Kumari R, Malathi M. Aging in elderly: chronologi- cal versus photo aging. Indian Journal of Dermatology. 2012;57(5):343- 52.

Weinberg J, Sdheinfeld N. Cutaneous infections in the elderly: di- agnosis and management. Dermatologic Therapy. 2003;16: 195–205.

Norman RA. Structure and function of aging skin. In Diagnosis of aging skin diseases. Edited by RA Norman. London: Springer-Verlag. 2008:5-11.

Baumann L. Skin aging and its treatment. J Pathol; 2007; 211: 241- 51.

Bilgili SG, Karadag AS, Ozkol HU et al. The prevalence of skin dis- eases among the geriatric patients in Eastern Turkey. JPak Med Assoc. 2012; 62(6):535-9.

Webster GF Common skin disorders in the elderly. Clinical corner- stone; 2001, 4: 39-44.

Norman RA, Young EM, Jr. Atlas of Geriatric Dermatology , Spring- er-Verlag, 1st ed, London. 2014: 135-39.

Anderson C, Miller F. Xerosis and pruritis in the elderly-Recognition and management. In: Diagnosis of aging skin diseases. Edited by RA Norman. 1st ed. London: Springer-Verlag. 2000:151-9.

Norman RA. Xerosis and Pruritus in Elderly Patients, Part 1. Ostomy Wound Manage; 2006; 52(2):12-4.

Goyal A, Balari M, Mittal A, et al. pattern of geriatric dermatosis at a Tertiary Care Teaching Hospital of South Rajasthan, India. Our Dermatol online 2017;8(3):237-41.

Souissi A, Zeglaoui F, El Fekih N, et al. Skin diseases in the elderly: a multicentre Tunisian study. Ann Dermatol Venereol. 2006; 133(3):231- 4.

Cvitanovi? H, Knezevi? E, Kuljanac I and Janci? E. Skin disease in a geriatric patients group in outpatient dermatologic clinic Karlovac, Croatia. Coll Antropol. 2010;34 Suppl. 2:247-51.

Yosipovitch G and Tang MB. Practical management of psoriasis in the elderly, epidemiology, clinical aspects, quality of life, patient educa- tion and treatment options. Drugs Aging. 2002;19(11):847-63.

Piaserico S1, Conti A, Console FL, et al. Efficacy and Safety of Sys- temic Treatments for Psoriasis in Elderly Patients. Acta Derm Venereol. 2013; 94: 293–97.

Liao YH, Chen KH, Teseng MP, et al. Pattern of Skin Diseasesin a Geriatric Patient Group in Taiwan: A 7-Year survey from the outpatient clinic of a university medical center. Dermatology. 2001; 203: 308-13.

Scheinfeld NS: Visual clues to the diagnosis of infectious disease Photo ID Skin Disorders in Elderly Persons JD. Infect Med. 2007; 24:509-15.

Potts GA, Hurley MY. Psoriasis in the geriatric population. Clin Geri- atr Med. 2013;29(2):373-95.

Polat M, Yalçin B, Cali kan D, Alli N. Complete dermatological exam-ination in the elderly: an exploratory study from an outpatient clinic in Turkey. Gerontology. 2009;55(1):58-63.

Grover S, Narasimhalu C RV. A clinical study of skin changes in geriatric population. 2009; 75( 3 ):305-6.

Rapp SR, Feldman SR, Exum ML, A. B. et al. Psoriasis causes as much disability as other major medical diseases. J Am Acad Derma- tol.1999; 41 (3 Pt 1):401-7.

Fortune DG, Richards HL, Main CJ, Griffiths CE. What patients with psoriasis believe about their condition?. J Am Acad Dermatol. 1998; 39(2Pt 1):196-201.

Manola J, Atkins M, Ibrahim J and Kirkwood J. Prognostic factors in metastatic melanoma: a pooled analysis of Eastern Cooperative Oncol- ogy Grouptrials: JCO, 2000;18: 3782-93.

Marks R and Motley RJ. Skin cancer recognition and treatment. Drugs. 1995;50(1): 48-61.

Najdawi F, Fa’ouri1 M. Frequency and types of skin disorders and associated diabetes mellitus in elderly Jordanians. EMHJ. 2002; (8):4&5.