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Geriatric dermatology

Inga Meyer-Kühling, Rahel Eckardt, Evgenia Makrantonaki
BACKGROUND: Research regarding effective collaboration and communication between professional caregivers and dermatologists and the need for further education and training for caregivers in the field of geriatric dermatology still remains relatively scarce. OBJECTIVE: To document the state of knowledge of professional caregivers in the field of geriatric dermatology and make recommendations for dermatological education and postgraduate training. METHODS: A questionnaire with open and closed questions was used to evaluate the level of knowledge and current need for information in geriatric dermatology...
September 16, 2016: Zeitschrift Für Gerontologie und Geriatrie
Andrea Chiricozzi, Athanasios Pavlidis, Annunziata Dattola, Luca Bianchi, Maria Sole Chimenti, Monika Fida, Rosita Saraceno
BACKGROUND: clinical data on the long-term safety and efficacy of infliximab on psoriatic patients who are older than 65 years are limited. OBJECTIVES: the aim is to report the long-term efficacy, safety and tolerance of infliximab in geriatric patients. METHODS: This was a retrospective study conducted at the Department of Dermatology of the University of Rome Tor Vergata. Clinical data were reported at week 12, 52, 104, 208. RESULTS: 151 charts were evaluated...
August 18, 2016: Expert Opinion on Drug Safety
S Schubert, A Bauer, S Molin, C Skudlik, J Geier
BACKGROUND: Geriatric nurses (GN) have a high risk of occupational contact dermatitis (OCD), with chronic irritant contact dermatitis predominating. However, allergic contact dermatitis is an important issue as well. Little is known whether the relevant occupational allergen spectrum reported in the 1990s, including fragrances, preservatives, rubber chemicals, and ingredients of surface disinfectants to be the most common sensitizers in geriatric nurses, is still valid. OBJECTIVES: To monitor the current allergen spectrum in GN with OCD and verify the validity of the patch test recommendations (baseline-, preservative-, ointment base-, rubber-, disinfectant, series and fragrances) in GN with suspected OCD given by the German Contact Dermatitis Research Group (DKG)...
August 12, 2016: Journal of the European Academy of Dermatology and Venereology: JEADV
E Makrantonaki, E Steinhagen-Thiessen, R Nieczaj, C C Zouboulis, R Eckardt
BACKGROUND: Improvement of quality of life in old age and prevention of age-associated diseases have become the main focus of research into aging; however, information regarding the skin health status of geriatric patients still remains sparse. GOAL: To investigate the extent of dermatological diseases in hospitalized geriatric patients, map the most prevalent ones, check for any gender differences and document any correlations with duration of hospitalization and results of geriatric assessments...
June 28, 2016: Zeitschrift Für Gerontologie und Geriatrie
Yee Leng Teoh, Rachael Yl Teo, Benson Yeo, Kim Hwa Lim, Mark Ja Koh
INTRODUCTION: Pruritus in elderly patients can have a significant impact on the quality of life but may be underestimated and poorly addressed by healthcare professionals. MATERIALS AND METHODS: From March to May 2010, a structured interview questionnaire including the Dermatology Life Quality Index (DLQI) was administered to all patients admitted to the geriatric ward in Changi General Hospital, Singapore, except for those with cognitive impairment. RESULTS: A total of 194 patients were enrolled in the study; 94 patients (48...
April 2016: Annals of the Academy of Medicine, Singapore
Rashmi Jindal, Akanksha Jain, Samarjit Roy, S D S Rawat, Nancy Bhardwaj
INTRODUCTION: Ageing results in decline of normal functioning in all organ systems including skin. This predisposes the elderly persons to develop various skin ailments. A thorough knowledge of different diseases prevalent in this population in different geographic regions help the health care providers in better health care policy making. AIM: This study was planned to know the common dermatological diseases prevalent in Uttarakhand region of India. MATERIALS AND METHODS: Hospital out patients records maintained in Department of Dermatology, Venereology & Leprosy were analysed and information regarding age, sex and diagnosis of patients were recorded...
March 2016: Journal of Clinical and Diagnostic Research: JCDR
Ryoji Tanei, Yasuko Hasegawa
Atopic dermatitis (AD) in older adults represents a newly defined subgroup of AD. The prevalence of elderly AD is approximately 1-3% among elderly populations in industrialized countries. Elderly patients with AD show some common clinical characteristics, such as a male predominance, a lower incidence of lichenified eczema at the elbow and knee folds, and particular patterns of onset and clinical course. Both immunoglobulin (Ig)E-allergic and non-IgE-allergic types are observed in elderly AD. Elderly patients with IgE-allergic AD show high rates of positivity for specific IgE antibodies against house dust mites, associations with IgE allergic and asthmatic complications, histopathological features with a predominance of IgE-mediated allergic inflammation in the lesional skin, and a significantly lower incidence of malignancy as compared with control subjects...
March 2016: Geriatrics & Gerontology International
Philippe Humbert, Brigitte Dréno, Jean Krutmann, Thomas Anton Luger, Raoul Triller, Sylvie Meaume, Sophie Seité
The increasingly aged population worldwide means more people are living with chronic diseases, reduced autonomy, and taking various medications. Health professionals should take these into consideration when managing dermatological problems in elderly patients. Accordingly, current research is investigating the dermatological problems associated with the loss of cutaneous function with age. As cell renewal slows, the physical and chemical barrier function declines, cutaneous permeability increases, and the skin becomes increasingly vulnerable to external factors...
2016: Clinical Interventions in Aging
Muhterem Polat, Mustafa N İlhan
The geriatric population is continuously growing, which leads to more aged patients being admitted to dermatology clinics. The aim of this study is to determine the dermatological complaints of the elderly attending a dermatology outpatient clinic. All of the patients aged 65 years and older admitted to our dermatology outpatient clinic over a 1-year period were included. Patients were divided into 2 groups according to their ages as group I (65-74 years) and group II (≥75 years). The patients were asked about their dermatologic complaints...
2015: Acta Dermatovenerologica Croatica: ADC
D Kratzsch, J-C Simon, R Treudler
Pharmacotherapy in the elderly represents a challenge for dermatologists in regard to comorbidities, drug interactions, and compliance. Age-associated multimorbidity often results in polypharmacy and elevates the risk of adverse drug reactions. Crucial age-related alterations in pharmacokinetics must be considered when selecting drugs, particularly decreased total body water, altered proportion between muscle mass and adipose tissue, as well as decreased renal function. The purpose of this review is to help the reader identify relevant adverse drug reactions of often prescribed systemic dermatological pharmacons in geriatric patients and makes recommendations for their adequate application...
February 2016: Der Hautarzt; Zeitschrift Für Dermatologie, Venerologie, und Verwandte Gebiete
Caren Garber, Natalia Plotnikova, Shiu-chung Au, Eric P Sorensen, Alice Gottlieb
BACKGROUND/OBJECTIVE: Despite the aging population, few studies have documented the treatment of geriatric psoriasis. The purpose of this study is to compare the efficacy, safety, and prescribing patterns of biologics and conventional systemic medications in elderly versus adult psoriasis. METHODS: All patient visits coded for psoriasis or psoriatic arthritis (ICD-9 696.1 or 696.0) at the Tufts Medical Center General Dermatology Clinic from January 1, 2008, to March 1, 2015 were included in this retrospective cohort study...
August 2015: Journal of Drugs in Dermatology: JDD
Radomir Reszke, Dorota Pełka, Angela Walasek, Zbigniew Machaj, Adam Reich
BACKGROUND: Skin problems in the elderly population have rarely been the subject of scientific research. OBJECTIVES: The present study aimed to determine the prevalences of the most common dermatological conditions in elderly subjects and to investigate their associations with systemic diseases. METHODS: The study involved a group of 198 consecutive patients aged ≥ 65 years who were admitted to the Departments of Dermatology and Geriatrics at the study institution...
September 2015: International Journal of Dermatology
Pragya A Nair, Rita Vora
INTRODUCTION: Aging population is susceptible to many cutaneous and systemic diseases, simultaneously leading to impairment of quality of life in them. AIM: To know the association of dermatosis and systemic diseases in geriatric age group. MATERIALS AND METHODS: A retrospective study was carried on patients above 60 years of age who visited the Dermatology OPD at rural tertiary care centre from June 2009 to May 2010. Patients were assessed on a prescribed 30 point proforma...
January 2015: Journal of Family Medicine and Primary Care
C Templier, E Boulanger, Y Boumbar, F Puisieux, V Dziwniel, L Mortier, J B Beuscart
BACKGROUND: Ageing is a determining factor in skin cancer, but the incidence and prevalence of skin cancer in elderly patients are not known. AIM: To determine the prevalence of skin cancers in elderly patients and to assess their associated geriatric syndromes. METHODS: Between January and April 2013, all consecutive incident patients hospitalized in the Acute Geriatric Unit of Lille University Hospital underwent a geriatric assessment and a systematic dermatological examination...
June 2015: Clinical and Experimental Dermatology
Katherine L Caretti, Darius R Mehregan, David A Mehregan
BACKGROUND: In the USA, the geriatric population, almost 12% of which will be comprised of African-Americans, is expected to exceed 88 million by 2050. Data on dermatologic conditions in elderly African-Americans are deficient. OBJECTIVES: This study aimed to identify prevalences of self-reported skin disease and skin-related concerns in elderly African-Americans, and to assess participants' perceptions of skin disease and awareness of skin cancer. METHODS: Elderly African-Americans were recruited into a cross-sectional study and asked to complete a 17-item questionnaire...
September 2015: International Journal of Dermatology
J Wohlrab, K Hilpert, A Wohlrab
The change in the population's age structure in most industrial countries, as in Germany, requires geriatric medicine to play an increasingly important role. Dermatology also has to meet the new challenges by expert discussion and ethical considerations. The physiological aging process is influenced by intrinsic and extrinsic factors and causes a variety of morphological and functional alterations in the skin. Those alterations are the cause for an increasing prevalence of many dermatoses. Infections, wound healing disorders, inflammatory diseases, tumors and associated paraneoplastic syndromes are of particular importance...
October 2014: Der Hautarzt; Zeitschrift Für Dermatologie, Venerologie, und Verwandte Gebiete
Z Gundkalli, V Blackwell, W Howson, H Williams
INTRODUCTION: NICE Guidelines (2006) advocate the screening of all new hospital outpatients in order to identify individuals at risk of malnutrition within the community. However, existing data in support of outpatient screening are limited. To establish the utility of screening in specific outpatient settings, data were collected from targeted clinics. Patterns of risk associated with age, gender, ethnicity and 'new' or 'follow up' outpatient status were determined. METHODS: The Malnutrition Universal Screening Tool (MUST) was used to assess the nutritional status of all individuals attending outpatient appointments at eight clinics at St...
June 2014: Gut
Dorothea Kratzsch, Regina Treudler
Demographic changes in our society will lead to an increasing proportion of elderly people. Age-associated multimorbidity often results in polypharmacy and elevates the risk of adverse drug reactions. Decisive alterations in pharmacokinetics and pharmacodynamics are detectable in old age, primarily a decrease in total body water, an altered ratio of muscle mass to fatty tissue, and decreased renal function. Changes in gastrointestinal transit, plasma protein binding, hepatic drug metabolism, and an increased susceptibility to drug-induced cognitive decompensation have also been reported...
August 2014: Journal der Deutschen Dermatologischen Gesellschaft, Journal of the German Society of Dermatology: JDDG
Samantha Gontijo Guerra, Helen-Maria Vasiliadis, Michel Préville, Djamal Berbiche
BACKGROUND: There are considerable gaps in the knowledge of the global epidemiology of skin conditions in the geriatric population. OBJECTIVE: This study attempted to (1) determine the frequency of skin conditions, (2) evaluate the agreement between two different data sources of information (self-report versus administrative), and (3) document medical care service use for skin conditions in a representative sample of community-dwelling older adults. METHODS: A secondary analysis using data from a longitudinal population-based health survey conducted in Quebec (2005-2008) within a sample of 2,811 community-dwelling older adults...
May 2014: Journal of Cutaneous Medicine and Surgery
Samantha Gontijo Guerra, Helen-Maria Vasiliadis, Michel Préville, Djamal Berbiche
Background:There are considerable gaps in the knowledge of the global epidemiology of skin conditions in the geriatric population.Objective:This study attempted to (1) determine the frequency of skin conditions, (2) evaluate the agreement between two different data sources of information (self-report versus administrative), and (3) document medical care service use for skin conditions in a representative sample of community-dwelling older adults.Methods:A secondary analysis using data from a longitudinal population-based health survey conducted in Quebec (2005-2008) within a sample of 2,811 community-dwelling older adults...
2014: Journal of Cutaneous Medicine and Surgery
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