Epidemiology of Dermatologic Conditions Among Elderly Patients at the Ambulatory Care Service of a Tertiary Hospital in Metro Manila from 2014 to 2018: A Five-year Review
Irene B. Cua, Eleanor Lo-Letran
Oct 2023 DOI 10.35460/2546-1621.2021-0002 Access
Abstract
Introduction: Ageing is a progressive degenerative process that leads to decline in the physiological function and reserve capacity of the whole body system, including the skin. As the Filipino geriatric population escalates, the incidence of skin diseases becomes more widely acknowledged. Presently, there are only a few studies that have been reported locally describing the nature of geriatric dermatoses.
Objectives: To describe the epidemiology of dermatologic conditions among Filipino elderly patients that prompted a consult at the ambulatory care service of a tertiary hospital between the years 2014 and 2018.
Methodology: All Filipino elderly patients with dermatological conditions seen at the dermatology ambulatory care service from 2014 to 2018 was studied through a single-center, retrospective, descriptive study.
Results: Elderly patients comprised 16.76% of the total patients who sought dermatological consultation at the ambulatory care service of the hospital. Majority of the patients were females. Xerosis/xerotic eczema (10.02%) was the most frequently encountered skin disease. The top 10 diseases were irritant contact dermatitis (7.00%), lichen simplex chronicus (6.67%), psoriasis (5.56%), seborrheic dermatitis (5.24%), allergic contact dermatitis (4.37%), tinea pedis (3.51%), herpes zoster (3.49%), seborrheic keratosis (3.23%), and milia (2.54%). Based on the nature of disease, inflammatory condition was the most commonly seen.
Conclusion: Dermatological disorders are ubiquitous in older people with a significant impact on the quality of life. Inflammatory dermatoses comprise a wide array of skin diseases as evidenced in this study, which account for most of the cutaneous problems in the elderly. Similar to other epidemiological studies, xerosis/xerotic eczema still comprises majority of the cases prompting elderly patients to seek a dermatological consultation.
Keywords: elderly, geriatric, dermatologic diseases, ambulatory, epidemiology
- Yaar M, Gilchrest BA. Aging of skin . In: Wolff K, Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, editors. Fitzpatrick's Dermatology in General Medicine. 7th ed . New York: McGraw-Hill, 2008. p.963-73.
- Wey SJ, Chen DY. Common cutaneous disorders in the elderly . Journal of Clinical Gerontology & Geriatrics 2010;1.2:36-41.
- Blume-Peytavi U, Kottner J, Sterry W, Hodin M, Griffiths T, Watson R, et al. Age-associated skin conditions and diseases: Current perspectives and future options . The Gerontologist 2016;56(2):S230–S242.
- Help Age Global Network (2017b). Ageing population in the Philippines .. Available from: http://ageingasia.org/ageing-population-philippines
- Hahnel E, Lichterfeld A, Blume-Peytavi U, Kottner J. The epidemiology of skin conditions in the aged: A systematic review. J Tissue Viability [Internet]. 2017;26(1):20–8. Available from: http://dx.doi.org/10.1016/j.jtv.2016.04.001
- Gilchrest BA, Chiu N. Common skin disorders . Available from: http://www.merck.com/pubs/mm_geriatrics/sec15/ch123.htm.
- Beauregard S, Gilchrest BA. A survey of skin problems and skin care regimens in the elderly . Arch Dermatol 1987;123:1638–43.
- Ramirez ML, Serrano MR. Dermatoses in the elderly: A 4-year retrospective study in a tertiary hospital skin clinic at Davao city. Journal of the Philippine Society of Cutaneous Medicine . 2002;3(1):33-4.
- Tianco, E, Buendia-Teodisio G, Alberto N. Survey of skin lesions in the Filipino elderly . International Journal of Dermatology. 1992;31(3):196-8.
- Global Coalition on Aging. Life course of healthy skin global partnership: Consensus statement of the delegates of the 2014 Manchester Summit . Available from: http://www.globalcoali- tiononaging.com/v2/data/uploads/documents/manchester-sum- mit-consensus-statement_final.pdf
- Help Age Global Network. (2017a). Ageing and health: Philippines . Available from: http://ageingasia.org/ageing-population-philippines
- Perez A. Building an active, disability-free society for all . Human Rights Forum, 1999:9(1):Jul-Dec 1999.
- Cvitanović H, Knezević E, Kuljanac I, Jancić E. Skin disease in a geriatric patients group in outpatient dermatologic clinic Karlovac, Croatia. Coll Antropol. 2010;34 Suppl 2:247–51.
- Smith DR Leggat PA. Prevalence of skin disease among the elderly in different clinical environments . Australasian Journal on Ageing 2005;24(2):71–6.
- Liao YH, Chen KH, Tseng MP, Sun CC. Pattern of skin diseases in a geriatric patient group in Taiwan: A 7-year survey from the outpatient Clinic of a university medical center. Dermatology [Internet]. 2001;203(4):308–13. Available from: http://dx.doi.org/10.1159/000051778
- Yalçin B, Tamer E, Toy GG, Oztaş P, Hayran M, Alli N. The prevalence of skin diseases in the elderly: analysis of 4099 geriatric patients. Int J Dermatol [Internet]. 2006;45(6):672–6. Available from: http://dx.doi.org/10.1111/j.1365-4632.2005.02607.x
- Thapa DP, Jha AK, Kharel C, Shrestha S. Dermatological problems in geriatric patients: a hospital based study. Nepal Med Coll J. 2012;14(3):193–5.
- Bilgili ME, Yildiz H, and Sarici, G. Prevalence of skin diseases in a dermatology outpatient clinic in Turkey. A cross-sectional, retrospective study. Journal of Dermatological Case Reports 2013;7(4):108.
- Bertanha F, Nelumba EJP, Freiberg AK, Samorano LP, Festa C Neto. Profile of patients admitted to a triage dermatology clinic at a tertiary hospital in São Paulo, Brazil. An Bras Dermatol [Internet]. 2016;91(3):318–25. Available from: http://dx.doi.org/10.1590/abd1806-4841.20164495
- Goyal A, Balai M, Mittal A, Khare AK, Gupta LK. Pattern of geriatric dermatoses at a Tertiary Care Teaching Hospital of South Rajasthan, India. Our Derm Online [Internet]. 2017;8(3):237–41. Available from: http://dx.doi.org/10.7241/ourd.20173.71
- Sheethal MP, Shashikumar BM. A cross-sectional study on the dermatological conditions among the elderly population in Mandya city . Int J Med Sci Public Health 2015;4:467-70.
- Darjani A, Mohtasham-Amiri Z, Mohammad Amini K, Golchai J, Sadre-Eshkevari S, Alizade N. Skin disorders among elder patients in a referral center in northern Iran (2011). Dermatol Res Pract [Internet]. 2013;2013:193205. Available from: http://dx.doi.org/10.1155/2013/193205
- Mponda K, Masenga J. Skin diseases among elderly patients attending skin clinic at the Regional Dermatology Training Centre, Northern Tanzania: a cross-sectional study . BMC Research Notes 2016;9(1):119.
- World Health Organization. Ageing and life course . 2019. Available from: https://www.who.int/ageing/genger/en/
- Durai PC, Thappa DM, Kumari R, Malathi M. Aging in elderly: Chronological versus photoaging . Indian J Dermatol . 2012;57(5):343.
- Patange VS, Fernandez RJ. A study of geriatric dermatoses . Indian J Dermatol Venereol Leprol . 1995;61(4):206-8.
- Sahoo A, Singh PC, Pattnaik S. Geriatric Dermatoses in Southern Orissa. Indian J Dermatol. 2000;45:66–8.
- Prakash AV, Davis MDP. Contact dermatitis in older adults: A review of the literature. Am J CIIn Dermatol 2010;11(6):373-81.
- Grozdev IS, Van Voorhees AS, Gottlieb AB, Hsu S, Lebwohl MG, Bebo BF, et al. Psoriasis in the elderly: From the Medical Board of the National Psoriasis Foundation . Journal of the American Academy of Dermatology 2011;65(3):537–45.
- Vargas-Alvarado A, Salinas-Martinez R, Ocampo-Candiani J. Epidemiology of dermatosis in geriatric patients . Rev Med Inst Mex Seguro Soc 2009;47(3):285-9.
- Georgieva F. Current Epidemiology of lichen simplex chronicus . J of IMAB . 2016;22(3):1221-5.
- Farage MA, Miller KW, Berardesca E, Maibach HI. Clinical implications of aging skin . American Journal of Clinical Dermatology 2009;10(2):73–86.
- Polat M, Ilhan M. Dermatological complaints of the elderly attending a dermatology outpatient clinic in Turkey: A prospective study over a one-year period . Acta Dermatovenerol Croat. 2015;23(4):270-81.
- Grover S, Narasimhalu C. A clinical study of skin changes in geriatric population . Indian J Dermatol Venereol Leprol . 2009;75:305-6.
- Raveendra L. A clinical study of geriatric dermatoses . Our Dermatol Online . 2014;5:235-9.
- John AR, Canaday DH. Herpes Zoster in the Older Adult . Infectious Disease Clinics of North America 2017;31(4):811–26.
- Kwon OS, Hwang EJ, Bae JH, Park HE, Lee JC, Youn JI, et al. Seborrheic keratosis in the Korean males: causative role of sunlight . Photodermatology, Photoimmunology and Photomedicine 2003;19(2):73–80.
- Rahrovan S, Fanian F, Mehryan P, Humbert P, Firooz A. Male versus female skin: What dermatologists and cosmeticians should know. Int J Womens Dermatol [Internet]. 2018;4(3):122–30. Available from: http://dx.doi.org/10.1016/j.ijwd.2018.03.002
- Moore MG, Bennett RG. Basal cell carcinoma in asians: a retrospective analysis of ten patients. J Skin Cancer [Internet]. 2012;2012:741397. Available from: http://dx.doi.org/10.1155/2012/741397
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