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Vol. 203, No. 4, 2001
Issue release date: 2001
Section title: Clinical and Laboratory Investigations
Dermatology 2001;203:308–313
(DOI:10.1159/000051778)

Pattern of Skin Diseases in a Geriatric Patient Group in Taiwan: A 7-Year Survey from the Outpatient Clinic of a University Medical Center

Liao Y.H. · Chen K.H. · Tseng M.P. · Sun C.C.
aDepartment of Dermatology, National Taiwan University Hospital, and bInstitute of Epidemiology, College of Public Health, National Taiwan University, Taipei, Taiwan, ROC

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Article / Publication Details

First-Page Preview
Abstract of Clinical and Laboratory Investigations

Published online: 12/12/2001

Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 4

ISSN: 1018-8665 (Print)
eISSN: 1421-9832 (Online)

For additional information: http://www.karger.com/DRM

Abstract

Background: Geriatric health care has become a worldwide concern, but relatively few statistical studies are available about geriatric skin diseases. Moreover, no information exists regarding skin disorders among the elderly population in Taiwan that has become a geriatric country. Objective: To determine the characteristic pattern and the prevalence of various skin disorders for the elderly who visited the National Taiwan University in the last 7 years. Methods: Using a database from the Dermatology Outpatient Clinic of the National Taiwan University Hospital, 1993–1999 file, we conducted a retrospective cross-sectional study by evaluating the age, proportion, and gender of each specific cutaneous disease category, χ2 tests were used for analyzing statistical significance. The analysis supplied odds ratios and 95% confidence intervals. Results: A total of 16,924 patients aged 65 years and older, which constituted 11% of the total patients seen at the Clinic of Dermatology from 1993 through 1999, were studied. The male to female ratio was 1.3 to 1. The most common cutaneous disorder in the elderly was dermatitis (58.7%), followed by fungal infections (38.0%), pruritus (14.2%), benign tumors (12.8%), and viral infections (12.3%). Cutaneous malignant tumors were found in 2.1%. Basal cell carcinoma occurred in 29.8%, actinic keratosis in 22.4%, Bowen’s disease in 13.3% and squamous cell carcinoma 13.3%. Interestingly, our cases of extramammary Paget’s disease showed a male predominance. Most melanomas were acral lentiginous melanoma located on the soles. The prevalence of common diseases in elderly patients compared with those outpatients of less than 65 years showed a 3-fold increased risk for pruritus. Moreover, the pattern of geriatric skin diseases in Taiwan was significantly different from Western countries. Conclusion: The prevalence of skin diseases in elderly patients emphasizes the importance of health education in geriatric people in Taiwan concerning appropriate use of emollients, proper foot care, sun protection and early detection of skin cancers.


  

Author Contacts

Dr. Chee-Ching Sun
Department of Dermatology, National Taiwan University Hospital
7, Chung-Shan South Road
Taipei, 100 Taiwan (ROC)
Tel. +886 2 23562141, Fax +886 2 23934177, E-Mail Chee@ha.mc.ntu.edu.tw

  

Article Information

Received: Received: January 22, 2001
Accepted: June 6, 2001
Number of Print Pages : 6
Number of Figures : 0, Number of Tables : 4, Number of References : 16

  

Publication Details

Dermatology (International Journal for Clinical and Investigative Dermatology)
Founded as ‘Dermatologische Zeitschrift’ by Oskar Lassar (1893–1907); Continued by Erich Hoffmann (1908–1938), continued as ‘Dermatologica’ (1939–1991), by Wilhelm Lutz (1939–1958), Rudolf Schuppli (1959–1985)
Official Organ of the Swiss Society for Dermatology and Venereology; Official Organ of the Belgian Royal Society for Dermatology and Venereology

Vol. 203, No. 4, Year 2001 (Cover Date: 2001)

Journal Editor: J.-H. Saurat, Geneva.
ISSN: 1018–8665 (print), 1421–9832 (Online)

For additional information: http://www.karger.com/journals/drm


Article / Publication Details

First-Page Preview
Abstract of Clinical and Laboratory Investigations

Published online: 12/12/2001

Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 4

ISSN: 1018-8665 (Print)
eISSN: 1421-9832 (Online)

For additional information: http://www.karger.com/DRM


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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