Skin diseases among elderly patients attending skin clinic at the Regional Dermatology Training Centre, Northern Tanzania: a cross-sectional study
Identifieur interne : 000B06 ( Main/Exploration ); précédent : 000B05; suivant : 000B07Skin diseases among elderly patients attending skin clinic at the Regional Dermatology Training Centre, Northern Tanzania: a cross-sectional study
Auteurs : Kelvin Mponda [Malawi, Tanzanie] ; John Masenga [Tanzanie]Source :
- BMC Research Notes [ 1756-0500 ] ; 2016.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Dermatoses papulosquameuses (anatomopathologie), Dermatoses papulosquameuses (diagnostic), Dermatoses papulosquameuses (épidémiologie), Eczéma (anatomopathologie), Eczéma (diagnostic), Eczéma (épidémiologie), Femelle, Humains, Lymphoedème (anatomopathologie), Lymphoedème (diagnostic), Lymphoedème (épidémiologie), Maladies auto-immunes (anatomopathologie), Maladies auto-immunes (diagnostic), Maladies auto-immunes (épidémiologie), Mycoses (anatomopathologie), Mycoses (diagnostic), Mycoses (épidémiologie), Mâle, Peau (anatomopathologie), Pellagre (anatomopathologie), Pellagre (diagnostic), Pellagre (épidémiologie), Sarcome de Kaposi (anatomopathologie), Sarcome de Kaposi (diagnostic), Sarcome de Kaposi (épidémiologie), Sujet âgé, Sujet âgé de 80 ans ou plus, Tanzanie (épidémiologie), Toxidermies (anatomopathologie), Toxidermies (diagnostic), Toxidermies (épidémiologie), Urticaire (anatomopathologie), Urticaire (diagnostic), Urticaire (épidémiologie), Vitiligo (anatomopathologie), Vitiligo (diagnostic), Vitiligo (épidémiologie), Établissements de soins ambulatoires, Études transversales.
- MESH :
- anatomopathologie : Dermatoses papulosquameuses, Eczéma, Lymphoedème, Maladies auto-immunes, Mycoses, Peau, Pellagre, Sarcome de Kaposi, Toxidermies, Urticaire, Vitiligo.
- diagnostic : Dermatoses papulosquameuses, Eczéma, Lymphoedème, Maladies auto-immunes, Mycoses, Pellagre, Sarcome de Kaposi, Toxidermies, Urticaire, Vitiligo.
- épidémiologie : Dermatoses papulosquameuses, Eczéma, Lymphoedème, Maladies auto-immunes, Mycoses, Pellagre, Sarcome de Kaposi, Tanzanie, Toxidermies, Urticaire, Vitiligo.
- Adulte d'âge moyen, Femelle, Humains, Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus, Établissements de soins ambulatoires, Études transversales.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Ambulatory Care Facilities, Autoimmune Diseases (diagnosis), Autoimmune Diseases (epidemiology), Autoimmune Diseases (pathology), Cross-Sectional Studies, Drug Eruptions (diagnosis), Drug Eruptions (epidemiology), Drug Eruptions (pathology), Eczema (diagnosis), Eczema (epidemiology), Eczema (pathology), Female, Humans, Lymphedema (diagnosis), Lymphedema (epidemiology), Lymphedema (pathology), Male, Middle Aged, Mycoses (diagnosis), Mycoses (epidemiology), Mycoses (pathology), Pellagra (diagnosis), Pellagra (epidemiology), Pellagra (pathology), Sarcoma, Kaposi (diagnosis), Sarcoma, Kaposi (epidemiology), Sarcoma, Kaposi (pathology), Skin (pathology), Skin Diseases, Papulosquamous (diagnosis), Skin Diseases, Papulosquamous (epidemiology), Skin Diseases, Papulosquamous (pathology), Tanzania (epidemiology), Urticaria (diagnosis), Urticaria (epidemiology), Urticaria (pathology), Vitiligo (diagnosis), Vitiligo (epidemiology), Vitiligo (pathology).
- MESH :
- diagnosis : Autoimmune Diseases, Drug Eruptions, Eczema, Lymphedema, Mycoses, Pellagra, Sarcoma, Kaposi, Skin Diseases, Papulosquamous, Urticaria, Vitiligo.
- epidemiology : Autoimmune Diseases, Drug Eruptions, Eczema, Lymphedema, Mycoses, Pellagra, Sarcoma, Kaposi, Skin Diseases, Papulosquamous, Tanzania, Urticaria, Vitiligo.
- pathology : Autoimmune Diseases, Drug Eruptions, Eczema, Lymphedema, Mycoses, Pellagra, Sarcoma, Kaposi, Skin, Skin Diseases, Papulosquamous, Urticaria, Vitiligo.
- Aged, Aged, 80 and over, Ambulatory Care Facilities, Cross-Sectional Studies, Female, Humans, Male, Middle Aged.
Abstract
As global population of the elderly continues to rise, a critical need to provide it with health services, including dermatology, will be significant, especially in developing countries like Tanzania. To adequately meet their dermatologic needs, knowledge of local patterns of skin conditions is vital. This study was aimed to describe the spectrum of skin diseases among elderly patients attending skin clinic at the Regional Dermatology Training Centre (RDTC) in Northern Tanzania.
A descriptive hospital based cross-sectional study was conducted between January 2013 and April 2013 at RDTC and included all patients aged 55 years and above who consented to be examined. Diagnoses were clinical, diagnostic tests being done only when necessary. Ethical clearance to conduct the study was granted.
A total of 142 patients, age ranges 55–99 years, median age of 67.5 years were seen. Eczemas were the leading disease group (43.7 %), with unclassified eczemas (33.9 %) predominating. Papulosquamous disorders (15.4 %) were second with psoriasis (50 %) being the leading disease. Infections (11.3 % with fungal infections the leading group representing 5.6 % of all diseases), tumours (9.8 %: Kaposi’s sarcoma 4.2 %), vascular disorders 9.1 % (lymphedema 4.9 %), autoimmune disorders 7.7 % (connective tissue diseases 4.9 %), vitiligo 4.2 %, nutritional diseases 2.1 % (pellagra 0.7 %), urticaria 0.7 % and drug reactions 0.7 %.
Eczemas are the most common group of disorders among elderly patients presenting at RDTC.
Url:
DOI: 10.1186/s13104-016-1933-6
PubMed: 26905256
PubMed Central: 4763417
Affiliations:
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Le document en format XML
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Mponda</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Dermatology, Queen Elizabeth Central Hospital, Blantyre, Malawi</nlm:aff><country xml:lang="fr">Malawi</country><wicri:regionArea>Department of Dermatology, Queen Elizabeth Central Hospital, Blantyre</wicri:regionArea><wicri:noRegion>Blantyre</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2">Regional Dermatology Training Centre, Moshi, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Regional Dermatology Training Centre, Moshi</wicri:regionArea><wicri:noRegion>Moshi</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff3">Kilimanjaro Christian Medical University College, Moshi, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Kilimanjaro Christian Medical University College, Moshi</wicri:regionArea><wicri:noRegion>Moshi</wicri:noRegion></affiliation></author><author><name sortKey="Masenga, John" sort="Masenga, John" uniqKey="Masenga J" first="John" last="Masenga">John Masenga</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Regional Dermatology Training Centre, Moshi, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Regional Dermatology Training Centre, Moshi</wicri:regionArea><wicri:noRegion>Moshi</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff3">Kilimanjaro Christian Medical University College, Moshi, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Kilimanjaro Christian Medical University College, Moshi</wicri:regionArea><wicri:noRegion>Moshi</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Research Notes</title><idno type="eISSN">1756-0500</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Ambulatory Care Facilities</term><term>Autoimmune Diseases (diagnosis)</term><term>Autoimmune Diseases (epidemiology)</term><term>Autoimmune Diseases (pathology)</term><term>Cross-Sectional Studies</term><term>Drug Eruptions (diagnosis)</term><term>Drug Eruptions (epidemiology)</term><term>Drug Eruptions (pathology)</term><term>Eczema (diagnosis)</term><term>Eczema (epidemiology)</term><term>Eczema (pathology)</term><term>Female</term><term>Humans</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (epidemiology)</term><term>Lymphedema (pathology)</term><term>Male</term><term>Middle Aged</term><term>Mycoses (diagnosis)</term><term>Mycoses (epidemiology)</term><term>Mycoses (pathology)</term><term>Pellagra (diagnosis)</term><term>Pellagra (epidemiology)</term><term>Pellagra (pathology)</term><term>Sarcoma, Kaposi (diagnosis)</term><term>Sarcoma, Kaposi (epidemiology)</term><term>Sarcoma, Kaposi (pathology)</term><term>Skin (pathology)</term><term>Skin Diseases, Papulosquamous (diagnosis)</term><term>Skin Diseases, Papulosquamous (epidemiology)</term><term>Skin Diseases, Papulosquamous (pathology)</term><term>Tanzania (epidemiology)</term><term>Urticaria (diagnosis)</term><term>Urticaria (epidemiology)</term><term>Urticaria (pathology)</term><term>Vitiligo (diagnosis)</term><term>Vitiligo (epidemiology)</term><term>Vitiligo (pathology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Dermatoses papulosquameuses (anatomopathologie)</term><term>Dermatoses papulosquameuses (diagnostic)</term><term>Dermatoses papulosquameuses (épidémiologie)</term><term>Eczéma (anatomopathologie)</term><term>Eczéma (diagnostic)</term><term>Eczéma (épidémiologie)</term><term>Femelle</term><term>Humains</term><term>Lymphoedème (anatomopathologie)</term><term>Lymphoedème (diagnostic)</term><term>Lymphoedème (épidémiologie)</term><term>Maladies auto-immunes (anatomopathologie)</term><term>Maladies auto-immunes (diagnostic)</term><term>Maladies auto-immunes (épidémiologie)</term><term>Mycoses (anatomopathologie)</term><term>Mycoses (diagnostic)</term><term>Mycoses (épidémiologie)</term><term>Mâle</term><term>Peau (anatomopathologie)</term><term>Pellagre (anatomopathologie)</term><term>Pellagre (diagnostic)</term><term>Pellagre (épidémiologie)</term><term>Sarcome de Kaposi (anatomopathologie)</term><term>Sarcome de Kaposi (diagnostic)</term><term>Sarcome de Kaposi (épidémiologie)</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tanzanie (épidémiologie)</term><term>Toxidermies (anatomopathologie)</term><term>Toxidermies (diagnostic)</term><term>Toxidermies (épidémiologie)</term><term>Urticaire (anatomopathologie)</term><term>Urticaire (diagnostic)</term><term>Urticaire (épidémiologie)</term><term>Vitiligo (anatomopathologie)</term><term>Vitiligo (diagnostic)</term><term>Vitiligo (épidémiologie)</term><term>Établissements de soins ambulatoires</term><term>Études transversales</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Dermatoses papulosquameuses</term><term>Eczéma</term><term>Lymphoedème</term><term>Maladies auto-immunes</term><term>Mycoses</term><term>Peau</term><term>Pellagre</term><term>Sarcome de Kaposi</term><term>Toxidermies</term><term>Urticaire</term><term>Vitiligo</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Autoimmune Diseases</term><term>Drug Eruptions</term><term>Eczema</term><term>Lymphedema</term><term>Mycoses</term><term>Pellagra</term><term>Sarcoma, Kaposi</term><term>Skin Diseases, Papulosquamous</term><term>Urticaria</term><term>Vitiligo</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Dermatoses papulosquameuses</term><term>Eczéma</term><term>Lymphoedème</term><term>Maladies auto-immunes</term><term>Mycoses</term><term>Pellagre</term><term>Sarcome de Kaposi</term><term>Toxidermies</term><term>Urticaire</term><term>Vitiligo</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Autoimmune Diseases</term><term>Drug Eruptions</term><term>Eczema</term><term>Lymphedema</term><term>Mycoses</term><term>Pellagra</term><term>Sarcoma, Kaposi</term><term>Skin Diseases, Papulosquamous</term><term>Tanzania</term><term>Urticaria</term><term>Vitiligo</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Autoimmune Diseases</term><term>Drug Eruptions</term><term>Eczema</term><term>Lymphedema</term><term>Mycoses</term><term>Pellagra</term><term>Sarcoma, Kaposi</term><term>Skin</term><term>Skin Diseases, Papulosquamous</term><term>Urticaria</term><term>Vitiligo</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Dermatoses papulosquameuses</term><term>Eczéma</term><term>Lymphoedème</term><term>Maladies auto-immunes</term><term>Mycoses</term><term>Pellagre</term><term>Sarcome de Kaposi</term><term>Tanzanie</term><term>Toxidermies</term><term>Urticaire</term><term>Vitiligo</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Ambulatory Care Facilities</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Établissements de soins ambulatoires</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>As global population of the elderly continues to rise, a critical need to provide it with health services, including dermatology, will be significant, especially in developing countries like Tanzania. To adequately meet their dermatologic needs, knowledge of local patterns of skin conditions is vital. This study was aimed to describe the spectrum of skin diseases among elderly patients attending skin clinic at the Regional Dermatology Training Centre (RDTC) in Northern Tanzania.</p></sec><sec><title>Methods</title><p>A descriptive hospital based cross-sectional study was conducted between January 2013 and April 2013 at RDTC and included all patients aged 55 years and above who consented to be examined. Diagnoses were clinical, diagnostic tests being done only when necessary. Ethical clearance to conduct the study was granted.</p></sec><sec><title>Results</title><p>A total of 142 patients, age ranges 55–99 years, median age of 67.5 years were seen. Eczemas were the leading disease group (43.7 %), with unclassified eczemas (33.9 %) predominating. Papulosquamous disorders (15.4 %) were second with psoriasis (50 %) being the leading disease. Infections (11.3 % with fungal infections the leading group representing 5.6 % of all diseases), tumours (9.8 %: Kaposi’s sarcoma 4.2 %), vascular disorders 9.1 % (lymphedema 4.9 %), autoimmune disorders 7.7 % (connective tissue diseases 4.9 %), vitiligo 4.2 %, nutritional diseases 2.1 % (pellagra 0.7 %), urticaria 0.7 % and drug reactions 0.7 %.</p></sec><sec><title>Conclusions</title><p>Eczemas are the most common group of disorders among elderly patients presenting at RDTC.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Jafferany, M" uniqKey="Jafferany M">M Jafferany</name></author><author><name sortKey="Huynh, Tv" uniqKey="Huynh T">TV Huynh</name></author><author><name sortKey="Silverman, Ma" uniqKey="Silverman M">MA Silverman</name></author><author><name sortKey="Zaidi, Z" uniqKey="Zaidi Z">Z Zaidi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Farage, Ma" uniqKey="Farage M">MA Farage</name></author><author><name sortKey="Miller, Kw" uniqKey="Miller K">KW Miller</name></author><author><name sortKey="Berardesca, E" uniqKey="Berardesca E">E Berardesca</name></author><author><name sortKey="Maibach, Hi" uniqKey="Maibach H">HI Maibach</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Norman, Ra" uniqKey="Norman R">RA Norman</name></author><author><name sortKey="Henderson, Jn" uniqKey="Henderson J">JN Henderson</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Chan, Hl" uniqKey="Chan H">HL Chan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Smith, Dr" uniqKey="Smith D">DR Smith</name></author><author><name sortKey="Leggat, Pa" uniqKey="Leggat P">PA Leggat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Porter, Mj" uniqKey="Porter M">MJ Porter</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Norman, Ra" uniqKey="Norman R">RA Norman</name></author><author><name sortKey="Henderson, Jn" uniqKey="Henderson J">JN Henderson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Marks, R" uniqKey="Marks R">R Marks</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Murphy, Dg" uniqKey="Murphy D">DG Murphy</name></author><author><name sortKey="Gastel, B" uniqKey="Gastel B">B Gastel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Souissi, A" uniqKey="Souissi A">A Souissi</name></author><author><name sortKey="Zeglaoul, F" uniqKey="Zeglaoul F">F Zeglaoul</name></author><author><name sortKey="El Fekih, N" uniqKey="El Fekih N">N El Fekih</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Fleischer, Abj" 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Goh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Liao, Yh" uniqKey="Liao Y">YH Liao</name></author><author><name sortKey="Chen, Kh" uniqKey="Chen K">KH Chen</name></author><author><name sortKey="Tseng, M" uniqKey="Tseng M">M Tseng</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bilgili, Sg" uniqKey="Bilgili S">SG Bilgili</name></author><author><name sortKey="Karadag, As" uniqKey="Karadag A">AS Karadag</name></author><author><name sortKey="Ozkol, Hu" uniqKey="Ozkol H">HU Ozkol</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Grover, S" uniqKey="Grover S">S Grover</name></author><author><name sortKey="Narasimhalu, C" uniqKey="Narasimhalu C">C Narasimhalu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Christophers, E" uniqKey="Christophers E">E Christophers</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Boyd, As" uniqKey="Boyd A">AS Boyd</name></author><author><name sortKey="Nelder, Kh" uniqKey="Nelder K">KH Nelder</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gao, Sj" uniqKey="Gao S">SJ Gao</name></author><author><name sortKey="Kingsley, L" uniqKey="Kingsley L">L Kingsley</name></author><author><name sortKey="Hoover, Dr" uniqKey="Hoover D">DR Hoover</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dukers, Nh" uniqKey="Dukers N">NH Dukers</name></author><author><name sortKey="Rezza, G" uniqKey="Rezza G">G Rezza</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jones, K" uniqKey="Jones K">K Jones</name></author><author><name sortKey="Fuller, Cd" uniqKey="Fuller C">CD Fuller</name></author><author><name sortKey="Luh, Jy" uniqKey="Luh J">JY Luh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Narayan, Dl" uniqKey="Narayan D">DL Narayan</name></author><author><name sortKey="Saladi, Rn" uniqKey="Saladi R">RN Saladi</name></author><author><name sortKey="Fox, Jl" uniqKey="Fox J">JL Fox</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Malawi</li><li>Tanzanie</li></country></list><tree><country name="Malawi"><noRegion><name sortKey="Mponda, Kelvin" sort="Mponda, Kelvin" uniqKey="Mponda K" first="Kelvin" last="Mponda">Kelvin Mponda</name></noRegion></country><country name="Tanzanie"><noRegion><name sortKey="Mponda, Kelvin" sort="Mponda, Kelvin" uniqKey="Mponda K" first="Kelvin" last="Mponda">Kelvin Mponda</name></noRegion><name sortKey="Masenga, John" sort="Masenga, John" uniqKey="Masenga J" first="John" last="Masenga">John Masenga</name><name sortKey="Masenga, John" sort="Masenga, John" uniqKey="Masenga J" first="John" last="Masenga">John Masenga</name><name sortKey="Mponda, Kelvin" sort="Mponda, Kelvin" uniqKey="Mponda K" first="Kelvin" last="Mponda">Kelvin 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