European Journal of Molecular & Clinical Medicine

Background: To study the spectrum of geriatric dermatoses in patients attending tertiary care centre in rural area, Telangana.
Materials and Methods: It was a Prospective observational study. The present study included all the geriatric population with males aged 60 years & above and females aged 50 years & above.  Female patients were chosen at a younger age, as in them the hormonal changes after menopause influences the aging skin changes, which starts around their 50s.
Results: Out of 400 patients studied 195 (48.75%) were males, 205 (51.25) were females with male to female ratio of 0.95:1.  The mean age of elderly patients in the present study is 64.48 years. Majority of patients (54.0%) belonged to the age group of 60-69 years, followed by 24% in age group of 50-59 years.  Xerosis was the commonest physiological change seen in the present study in 91.25% (365) patients.  The high incidence of xerosis could be attributed to less use of emollients and usage of harsher soaps by the subjects of the study who mostly hail from rural areas.  Infections and infestations of skin were seen in 37.5 %(150) patients. Fungal infections seen in 43.3% (65), viral infection in 28.6% (38), leprosy in 13.3% (20), Pyoderma in 6.6% (10) and Scabies in 11.33% (17) of patients. In the present study, eczematous conditions were seen in 20.5% (82) patients. Among the various types of eczema, stasis dermatitis was the commonest, seen in 34.14%(28)  of patients. Papulosquamous disorders were seen in 17.25% (69) .The incidence of psoriasis in the present study was 8.5% (34) followed by lichen planus, in 4.75% (19) of patients. Vesiculobullous disorders in the present study were seen in 4.75 % (19) of patients. Incidence of pemphigus vulgaris in present study was 1.75%(7) of patients. Bullous pemphigoid was noted in 1%(4) of patients. Malignant tumors were seen in 1.5% (6) of patients. In present study, Melasma was seen in 10.75% (43) patients, vitiligo was seen in 3.25% (13) of patients. In present study associated systemic illness were seen in 57.5 %( 229) patients. Hypertension in 30.75% (123) patients was the commonest systemic illness. Incidence of various pathological dermatosis among males and females were studied for any statistical significance by using fisher test. Statistical significance with p<0.05 was seen in incidence of Dermatosis papulosa nigra (p=0.000001163) and for cherry angiomas (p=0.000000159) among male and female patients.
Conclusion: We conclude, the present study results indicate that among geriatric skin conditions, physiological skin conditions were more common manifestations when compared to pathological conditions.

Background: Face is the most prominent part of the body. Facial blemishes and
disorders directly reflect on patient’s physical appearance, cosmesis and self-image.
They may contribute to dysmorphism and even lead to depressive illness in susceptible
individuals, especially in women. Therefore, it is important for early identification and
management of facial skin disorders.
Aims: To study the clinical patterns and their epidemiological determinants of
pigmentary dermatoses among female patients above the age of 10 years.
Materials and Methods: This cross-sectional hospital based study, conducted in a
tertiary centre over a period of 18 months from January 2015 to July 2016, involving
355 female patients with facial pigmentary dermatoses.After taking their informed
consent, assessment using detailed history taking, clinical examination, demographic
and etiological data in pre-designed proforma,relevant investigations including the skin
scrapings for KOH mount, woods lamp examination and skin biopsy, wherever
required were done.
Results: A total number of 355 patients were included. Melasma was the most common
disorder which was observed in 112(31.54%) patients. Ashy dermatosis being the least
wasrecorded only in 2(0.56%) patients. Most of the facial pigmentary conditions in this
study were related to occupation and lifestyle of the patients.History of photoaggravation,
stress and cosmetics use was commonly observed among the patients.
Agricultural workers were the predominant group followed by housewives.
Conclusion: Among the pigmentary, hyperpigmentary were more than hypopigmentary
dermatoses. This study is an effort to fill this gap in the understanding of occurrence
and clinical patterns of facialpigmentary dermatoses. These dermatoses have a major
bearing on Dermatological Quality of life (DLQI), physical and mental well being
among the female clientele of the institution.