Skin findings of geriatric patients in Turkey: A 5-year survey

Abstract

a b s t r a c t Background: "Geriatric patients" are a special group among dermatology patients because of the higher incidences of dermatologic and systemic diseases in this group. We aimed to determine the prevalence of dermatologic diseases, their relationship with age/sex, and hospitalization diagnoses with average times of hospitalization in the aged population. Methods: A total 7412 patients aged > 65 years who were admitted to dermatology clinics between April 2009 and April 2014 were included in this analysis. Hospital databases were used for data collection. The data were analyzed according to age, sex, hospitalization rate, and average hospitalization time. Results: Of the total 7412 geriatric patients enrolled in this study, 3640 (49.1%) were male and 3772 (50.9%) female. The two most frequent dermatologic diseases were eczematous dermatitis (32.2%) and skin infections and infestations (18.5%). In females, bullous diseases were more common, whereas in males, skin infections and infestations were more common (p < 0.05). The most frequent disease, in terms of hospitalization, was the eczematous dermatitis. The longest hospitalization times were for skin infections and infestations. There were no differences between the diseases according to age groups (p > 0.05). Conclusion: Eczematous dermatitis is the most common dermatologic disease in the elderly. Both treatment resistance and difficulty in differential diagnoses make eczematous dermatitis and pruritus the two most frequent reasons for hospitalization. Additionally, dividing patients into subgroups according to age has no relevance to dermatological practice.

Pattern of geriatric dermatoses at a Tertiary Care Teaching Hospital of South Rajasthan, India

“…Viral (10.6%) and bacterial (10.2%) infections were the next common infections; which is much lower than fungal infections. This is consistent with the findings of other studies [7,9,10,12,15,19]. Factors like poor hygiene, neglect, underlying disease like diabetes, bedridden status may also contribute to infections.…”

“…The relative incidence of infections and infestations was 244 (15.7%). The incidence of this compares well with other studies [11,13,15,16]. Some studies though have reported a higher incidence [7,9,12].…”

“…Of the pathological cutaneous findings, benign tumors were the commonest (620; 39.9%). The frequency of benign tumor varies between 1.7% to 74.5% in different studies [7,9,[10][11][12][14][15][16]19,20]. Cherry angioma (39.7%) was the commonest benign tumor observed in our study.…”

Clinical and Pathological Evaluation of Benign Skin Lesions

“…In the present study, 56% (n = 310) of all BSLs were found in males, and 47.7% (n = 241) were found in females. In several epidemiological studies conducted in various countries, the most common type of BSL in females and males is keratinocytic BSLs (Furue et al 2011;Kartal et al 2015;Mohammedamin et al 2006). In the present study, appendageal BSLs was the most common type found in females and males.…”

“…The epidemiological studies on skin diseases have reported the rates of BSL and MSL at 4.5-12% and 1.5-6%, respectively (Bertanha et al 2006;Furue et al 2011;Mohammedamin et al 2006). In general, the ratio of BSLs to the malignant ones is 1.5 or 4.5 (Bertanha et al 2006;Furue et al 2011;Kartal et al 2015;Mohammedamin et al 2006). Recent studies have reported a tendency of PSLs to increase over the last years, with rates 1.82%-4% found in large-scale epidemiological studies (Bas et al 2014;Choi et al 2016;Kim et al 2010).…”