Tesis
Prevalencia das dermatoses e comorbidades em idosos atendidos em um ambulatorio de dermatologia
Fecha
2017-08-02Autor
Neumaier, Walter
Institución
Resumen
The number of elderly people in the brazilian population has been growing, reaching
14.3% of the population in 2015. The life expectancy in Rio Grande do Sul is 78.4 years in
2017. The factors responsible for this are the reduction of infant mortality, drop in fertility and
increase in life expectancy. In the brazilian and world literature, there are few studies on the
prevalence of skin diseases in the elderly.
This study aims to characterize the epidemiological profile of skin changes and
comorbidities that affect the elderly attended at the dermatology outpatient clinic of the Santa
Maria’s University Hospital and the development of a check-list to help in the diagnosis of
dermatosis in the geriatric dermatology care. A cross-sectional study was conducted analyzing
data collected between May and August 2016, and included patients with ≥ 60 years old.
A total of 349 patients were studied, predominantly female (54.2%), white (94.5%),
incomplete elementary school (58.8%), farmer (51.6%) and 58.4% were phototype II. The most
prevalent comorbidities were hypertension, dyslipidemia, diabetes mellitus and osteoporosis;
in addition, we found that among of the 10 most prevalent dermatosis, 7 are associated with
hypertension. Basal cell carcinoma was the most commonly neoplasm; the most prevalent skin
diseases were actinic keratosis, cutaneous xerosis, seborrheic keratosis, wrinkles and
poikiloderma.
Based on the analyzed data, a check-list was set up to help in the diagnosis of the main
skin diseases associated with each age group and the main comorbidities of this population.
This study emphasizes the need for new research to be performed to better understand the
dermatosis and comorbidities of the elderly.