Geriatric health care has become a major issue worldwide. There are no data regarding geriatric dermatologic diseases are available from Nepal. Patients of 60 years and above were enrolled in the Nepali fiscal year 2067(April 2010-April 2011). The data included age, sex, place, and diagnosis. The aim of the study is to determine the characteristic pattern and frequency of
dermatoses in dermatologic patients aged 60 years and above. There were total of 6442 patients who visited out patients department. Out of which frequency of geriatric patients were 330, which constitute about 5.1%. The male to female ratio was 50% each. The most common cutaneous
dermatoses was
eczema 35.8%,
fungal infection 13.6%,
viral infection 7%, followed by
pruritus 7.3%,
scabies and
photodermatitis 4.5% each, Inflammatory
papulosquamous disorder 3.3%,
Bacterial infection and Icthyosis 2.1% each, vesiculobullous 1.8%,
tumors and pigmentary disorder 0.6% and Miscellaneous group (keratoderma, callus,
urticaria, diabetic
ulcer, burgers disease, burning feet syndrome,
Rosacea,
Drug rash-
amoxicillin, senile
acne,
prurigo nodularis, hansens disease,
pellagra,
Actinic cheilitis) 15.8%. Few patients had more than one
dermatoses which constitute < 1% .
Photodermatitis was found to be statistically significant. The most common
dermatoses were
Eczema in females followed by
Photodermatitis and comparatively in males viral and
fungal infections were common. This study depicts various characteristic patterns of
dermatoses seen in elderly.
Eczema and
infections was found to be most common diseases seen in elderly. Further epidemiologic studies including treatment, follow-up of elderly patients has to be carried out to know the burden of the disease and decrease morbidity and psychological concern associated with diseases.