Etiological and Clinical Evaluation of Elderly Patients with Pruritus: A Retrospective Cross-sectional Analysis of 700 Patients

Özge Zorlu; Umut Günal; Hülya Albayrak; Sema Aytekin

Makale detayları

Etiological and Clinical Evaluation of Elderly Patients with Pruritus: A Retrospective Cross-sectional Analysis of 700 Patients

Yazarlar:

Özge Zorlu | Umut Günal | Hülya Albayrak | Sema Aytekin

Yayıncı:

Eskişehir Osmangazi University

Ana Başlıklar:

Dermatoloji

Dergi:

Osmangazi Tıp Dergisi Vol.47 Issue 2, pp.233-243

Belge Tipi:

Makale

Yayın Tarihi:

2/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001339266

pISSN:

1305-4953

Anahtar kelimeler:

Özet:

 Pruritus is one of the most common symptoms in the elderly. It can be associated with dermatological, systemic, neurological, or psychogenic disorders. Identifing the underlying origin and appropriate management of patients are important due to its negative impact on quality of life. We aimed to investigate the demographic and clinical features, etiologies, laboratory work-up, and management of elderly patients with pruritus. A retrospective cross-sectional study was conducted on patients with pruritus aged  65 years who attended our outpatient clinic between January 2014 and June 2024. Etiological origins were categorized as dermatological, systemic, neurologic, psychogenic, drug-associated, or mixed. A total of 700 patients were included. Pruritus began between the ages of 65-75 years in 69. Of the patients, 140 20 had acute and 560 80 had chronic pruritus. Pruritus was localized in 299 42.7 and generalized in 401 57.3 patients. The trunk, upper and lower extremities were the most common sites of pruritus. The most common causes of pruritus were dermatological 83.6, followed by systemic 5.6 and psychogenic 5.1 origins. The most common dermatological cause of acute pruritus was scabies 20.5, whereas chronic pruritus was xerosis 32.9. Chronic renal failure was the leading systemic cause in both acute and chronic pruritus 30 and 42.5, respectively. In conclusion, the demographics, clinical, and etiological factors of pruritus in the elderly can differ according to the geographic region, sample size, age groups, socioeconomics, lifestyle, and environmental factors. Each patient must be examined and treated individually.

 Pruritus is one of the most common symptoms in the elderly. It can be associated with dermatological, systemic, neurological, or psychogenic disorders. Identifing the underlying origin and appropriate management of patients are important due to its negative impact on quality of life. We aimed to investigate the demographic and clinical features, etiologies, laboratory work-up, and management of elderly patients with pruritus. A retrospective cross-sectional study was conducted on patients with pruritus aged  65 years who attended our outpatient clinic between January 2014 and June 2024. Etiological origins were categorized as dermatological, systemic, neurologic, psychogenic, drug-associated, or mixed. A total of 700 patients were included. Pruritus began between the ages of 65-75 years in 69. Of the patients, 140 20 had acute and 560 80 had chronic pruritus. Pruritus was localized in 299 42.7 and generalized in 401 57.3 patients. The trunk, upper and lower extremities were the most common sites of pruritus. The most common causes of pruritus were dermatological 83.6, followed by systemic 5.6 and psychogenic 5.1 origins. The most common dermatological cause of acute pruritus was scabies 20.5, whereas chronic pruritus was xerosis 32.9. Chronic renal failure was the leading systemic cause in both acute and chronic pruritus 30 and 42.5, respectively. In conclusion, the demographics, clinical, and etiological factors of pruritus in the elderly can differ according to the geographic region, sample size, age groups, socioeconomics, lifestyle, and environmental factors. Each patient must be examined and treated individually.

 Pruritus is one of the most common symptoms in the elderly. It can be associated with dermatological, systemic, neurological, or psychogenic disorders. Identifing the underlying origin and appropriate management of patients are important due to its negative impact on quality of life. We aimed to investigate the demographic and clinical features, etiologies, laboratory work-up, and management of elderly patients with pruritus. A retrospective cross-sectional study was conducted on patients with pruritus aged  65 years who attended our outpatient clinic between January 2014 and June 2024. Etiological origins were categorized as dermatological, systemic, neurologic, psychogenic, drug-associated, or mixed. A total of 700 patients were included. Pruritus began between the ages of 65-75 years in 69. Of the patients, 140 20 had acute and 560 80 had chronic pruritus. Pruritus was localized in 299 42.7 and generalized in 401 57.3 patients. The trunk, upper and lower extremities were the most common sites of pruritus. The most common causes of pruritus were dermatological 83.6, followed by systemic 5.6 and psychogenic 5.1 origins. The most common dermatological cause of acute pruritus was scabies 20.5, whereas chronic pruritus was xerosis 32.9. Chronic renal failure was the leading systemic cause in both acute and chronic pruritus 30 and 42.5, respectively. In conclusion, the demographics, clinical, and etiological factors of pruritus in the elderly can differ according to the geographic region, sample size, age groups, socioeconomics, lifestyle, and environmental factors. Each patient must be examined and treated individually.

 Pruritus yaşlılarda en sık görülen semptomlardan biridir. Dermatolojik, sistemik, nörolojik veya psikojenik bozukluklarla ilişkili olabilir. Yaşam kalitesi üzerindeki olumsuz etkisi nedeniyle, altta yatan nedenin belirlenmesi ve hastaların uygun şekilde tedavi edilmesi önemlidir. Bu çalışmada, pruritusu olan yaşlı hastaların demografik ve klinik özelliklerini, etyolojilerini, laboratuvar çalışmalarını ve tedavilerini araştırmayı amaçladık. Ocak 2014 ile Haziran 2024 arasında polikliniğimize başvuran  65 yaş prurituslu hastalar üzerinde retrospektif kesitsel bir çalışma yürütüldü. Etiyolojik faktörler; dermatolojik, sistemik, nörolojik, psikojenik, ilaç ilişkili veya mikst olarak kategorize edildi. Toplam 700 hasta çalışmaya dahil edildi. Pruritus hastaların 69unda 65-75 yaşları arasında başlamıştı. Hastaların 140ında 20 akut, 560ında 80 kronik pruritus vardı. Pruritus 299 42,7 hastada lokalize iken 401 57,3 hastada jeneralizeydi. Gövde, üst ve alt ekstremiteler pruritusun en sık görülen yerleriydi. Pruritusun en sık görülen nedenleri dermatolojik 83,6 iken, bunu sistemik 5,6 ve psikojenik 5,1 nedenler izliyordu. Akut pruritusun en sık görülen dermatolojik nedeni skabiyez 20,5 iken, kronik pruritusta kserozis 32,9 idi. Kronik böbrek yetmezliği hem akut hem de kronik pruritusta en sık sistemik nedendi 30 ve 42,5. Sonuç olarak, yaşlılarda pruritusun demografik, klinik ve etiyolojik faktörleri coğrafi bölgeye, örneklem büyüklüğüne, yaş gruplarına, sosyoekonomiye, yaşam tarzına ve çevresel faktörlere göre farklılık gösterebilir. Her hasta, bireysel olarak değerlendirilmeli ve tedavi edilmelidir.

Makale detayları

Etiological and Clinical Evaluation of Elderly Patients with Pruritus: A Retrospective Cross-sectional Analysis of 700 Patients

Yazarlar:

Özge Zorlu | Umut Günal | Hülya Albayrak | Sema Aytekin

Yayıncı:

Eskişehir Osmangazi University

Ana Başlıklar:

Dermatoloji

Dergi:

Osmangazi Tıp Dergisi Vol.47 Issue 2, pp.233-243

Belge Tipi:

Makale

Yayın Tarihi:

2/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001339266

pISSN:

1305-4953

pruritus

geriatric

elderly

prurigopruritus

geriatrik

yaşlılık

prurigo

Sayı

Makale detayları

Yazarlar: Özge Zorlu | Umut Günal | Hülya Albayrak | Sema Aytekin

Yayıncı: Eskişehir Osmangazi University

Ana Başlıklar: Dermatoloji

Dergi: Osmangazi Tıp Dergisi Vol.47 Issue 2, pp.233-243

Belge Tipi: Makale

Yayın Tarihi: 2/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001339266

pISSN: 1305-4953

Sayı

Yazarlar:

Özge Zorlu | Umut Günal | Hülya Albayrak | Sema Aytekin

Yayıncı:

Eskişehir Osmangazi University

Ana Başlıklar:

Dermatoloji

Dergi:

Osmangazi Tıp Dergisi Vol.47 Issue 2, pp.233-243

Belge Tipi:

Makale

Yayın Tarihi:

2/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001339266

pISSN:

1305-4953