GERIATRIC PRURITUS- AN OBSERVATIONAL STUDY
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Keywords
skin, geriatric, pruritus, ageing, comorbidities
Abstract
Background: Geriatric population has seen a progressive rise over the years due to improving healthcare facilities and socioeconomic parameters. Pruritus along with other geriatric dermatosis, are also more prevalent.
Aims and objectives: To determine the pattern of pruritus in geriatric subgroup of our population
Material and methods: This study involving 300 patients of over 60 years of age presenting with pruritus, was conducted in the outpatient department (OPD) of dermatology of a secondary care centre. A detailed history and examination of cutaneous and systemic complaints, was done. Diagnosis was done on clinical assessment, and investigations were done whenever required. All the findings were recorded and analysed .
Results: Out of the total of 300 patients, 168 were males as compared to 132 females (1.3:1). Mean age was 68.32 + 4.21years, with majority belonging to under 70years of age (60.66%). Although eczematous disorders were the commonest (35.33%) association of pruritus, it was also idiopathic in a significant number (20.66%) of patients. Xerosis was noted in 61.33% of patients. Systemic complaints were present in 168(56%) patients, hypertension (25.66%) being the commonest.
Conclusion: Pruritus is a common and distressing complaint among geriatric population and requires enhanced awareness and proper management
References
2. Elderly in India-profiles and programmes. Central Statistics Office, Ministry of Statistics and Programme Implementation, Government of India 2016.
3. Hafez G, Bagchi K, Mahaini R. Caring for the elderly: A report on the status of care for the elderly in the Eastern Mediterranean Region. East Mediterr Health J 2000;6:636-43.
4. Situation Analysis of Elderly in India. Central Statistics Office, Ministry of Statistics and Programme Implementation, Government of India, June 2011 Available from: http://mospi.nic.in/sites/default/files/publication_reports/elderly_in_india.pdf.
5. Abolfotouh MA, Daffallah AA, Khan MY, Khattab MS, Abdulmoneim I. Psychosocial assessment of geriatric subjects in Abha City, Saudi Arabia. East Mediterr Health J 2001;3:481-91.
6. Joshi K, Kumar R, Avasthi A. Morbidity profile and its relationship with disability and psychological distress among elderly people in Northern India. Int J Epidemiol 2003;32:978-87.
7. Peytavi VB, Kottner J, Sterry W, Hodin MW, Griffiths TW, Watson REB, et al. Age associated skin conditions and diseases: Current perspectives and future options. Gerontologist 2016;56:s230-42.
8. Farage MA, Miller KW, Elsner P, Maibach HL. Intrinsic and extrinsic factors in skin ageing: a review. Int J Cosmet sci 2008; 30:87-95.]
9. Meghna Kandwal,Rashmi Jindal,Payal Chauhan,Samarjit Roy. Skin diseases in geriatrics and their effect on the quality of life: A hospital-based observational study.J Fam Med Prim Care 2020 9:1453-1458.
10. Farage MA, Miller KW, Berardesca E, Maibach HL. Clinical implications of aging skin: cutaneous disorders in the elderly. Am J Clin Dermatol 2009;10:73-86.
11. Waller JM, Maibach HI. Age and skin structure and function, a quantitative approach (I): Blood flow, pH, thickness, and ultrasound echogenicity. Skin Res Technol. 2005;11:221–35]
12. Kumar D, Das A, Bandyopadhyay D, Chowdhury SN, Das NK, Sharma P, Kumar A. Dermatosis in the elderly: Clinical- demographic profile of patients attending a tertiary care centre. Indian J Dermatol 2021;66:74-80.
13. Ghosh A, Jahan G, Choubey P, Chaudhary SS. Spectrum of geriatric dermatosesin Jharkhand.IOSR JDMS 2017;16:59-62
14. Raveendra L. A Clinical study of geriatric dermatoses. Our Dermatol Online. 2014;5:235–39.
15. Sahoo A, Singh PC, Pattnaik P, Panigrahi R. Geriatric dermatoses in southern Orissa. Indian J Dermatol 2000; 45:66.
16. Kshetrimayum S, Thokchom NS, Vanlalhriatpuii ., Hafi NAB. Pattern of geriatric dermatoses at a tertiary care center in North-East India. Int J Res Dermatol 2017;
17. Patange SV, Fernandez RJ. A study of geriatric dermatoses. Indian J Dermatol Venereol Leprol. 1995;61:206–8.
18. Talukdar K, Mitra D. A cross sectional observational study to evaluate various cutaneous manifestations in geriatric age group .Int J Med Res Rev 2016;4(2):186-192.
19. Agarwal R, Sharma L, Ajay Chopra, Debdeep Mitra D, and Saraswat N. A Cross-Sectional Observational Study of Geriatric Dermatoses in a Tertiary Care Hospital of Northern India. Indian Dermatol Online J. 2019 Sep-Oct; 10(5): 524–529.
20. Thapa DP, Jha AK, Kharel C, Shrestha S. Dermatological problems in geriatric patients: a hospital based study. Nepal Med Coll J. 2012 Sep;14(3):193-5.
21. Yalcin B., Tamer E., Gur Toy G., Oztas P., Hayran M., Alli N. The prevalence of skin diseases in the elderly: Analysis of 4099 geriatric patients. Int. J. Dermatol. 2006;45:672–676. doi: 10.1111/j.1365-4632.2005.02607
22. Raghavendra BN, Rajesh G. Astudy of geriaritic dermatosis in a rural based tertiary care centre in south India. IP Indian J Clin Exp Dermatol 2020;6:62-66
23. Liao YH, Chen KH, Tseng MP, Sun CC. Pattern of skin diseases in a geriaritic population in Taiwan: a 7 year survey from the outpatient clinic of a university medical centre. Dermatology 2001;203:308-313.
24. Valdes-Rodriguez R., Mollanazar N.K., González-Muro J., Nattkemper L., Torres-Alvarez B., Javier López-Esqueda F., Chan Y.H., Yosipovitch G. Itch prevalence and characteristics in a Hispanic geriatric population: A comprehensive study using a standardized itch questionnaire. Acta Derm. Venereol. 2015;95:417–421. doi: 10.2340/00015555-1968. [PubMed] [CrossRef] [Google Scholar]
25. Gunalan P., Indradevi R., Oudeacoumar P., Govardhan J., Damayandhi K., Azeem Jaffer N. Pattern of skin diseases in geriatric patients attending tertiary care centre. J. Evol. Med. Dent. Sci. 2017;6:1566–1570. doi: 10.14260/Jemds/2017/344.
26. Durai PC, Thappa DM, Kumari R, Malathi M. Aging in elderly: chronological ve versus photoaging. Indian J Dermatol. 2012;57:343-52
27. Silverberg J.I., Hinami K., Trick W.E., Cella D. Itch in the general internal medicinesetting: A cross-sectional study of prevalence and quality-of life effects. Am. J. Clin. Dermatol. 2016;]
28. Dalgard F., Dawn A., Yosipovich G. Are itch and chronic pain associated in adults? Results of a large population survey in Norway. Dermatology. 2007;214:305–309. doi: 10.1159/000100881.
29. Rathore BS, Arvind K, Sanyogita S, Tushyata A. Geriatric dermatoses— A clinical study. Int J Scientific Res 2017;6:176-9. Chopra A. Skin diseases in the elderly. Indian J Dermatol Venereol Leprol. 1999;65(5):245-6
30. Bilgili SG, Karadag AS, Ozkol HU, Calka O, Akdeniz N. The prevalence of skin diseases among the geriatric patients in Eastern Turkey. J Pak Med Assoc 2012;62:535–9
31. Norman RA. Xerosis and pruritus in the elderly: recognition and management. Dermatol Ther 2003;16:254-9. If the patient with itching does not respond to general preventive approaches and moisturizing cream, the the patient should be investigated for systemic diseases.(
32. Gilchrest BA. Pruritus in elderly. Semin Dermatol 1995;14:317-9.
33. Ali SY, Reddy GS, Sravanthi P.A clinical study of dermatological manifestations in geriatric patients in Shadan Institute of Medical Sciences and Teaching Hospital and Research Centre, Hyderabad, Telangana, India. Indian Journal of Clinical and Experimental Dermatology, 2017;3(1):24-28.
34. Pavithra S, Shukla P, Pai GS. Cutaneous manifestations in senile skin in coastal Goa. Nepal J Dermatol Venereolo Leprol 2010;9:1-6.
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Samia Aleem
MBBS, MD, Dermatologist, Department of Health and family welfare, Kashmir, J&K Health service
Suhail Sidiq
MBBS, MD, Associate professor, Department of Critical care medicine, Sher-Kashmir-Institute of medical sciences, J&K