山梨医科大学雑誌　第17巻4号　099-103(2002)

＜Original Article＞
Systemic Disease as a Risk Factor for Dermatologic Abnormality
in Elderly Nursing Home Patients

Derek Richard SMITH, Ron ATKINSON
Yueliang Leon GUO and Zentaro YAMAGATA

Abstract: Although the prevalence and distribution of skin disease is well studied among nursing home patients, the contribution of systemic disease on dermatologic abnormality has not been clearly elucidated. We conducted a 4-year epidemiological investigation of skin disease among palliative care residents in Japan, Australia and Taiwan. The initial research phase involved a questionnaire survey of demographic variables followed by clinical skin examinations performed by specialist physicians.A total of 869 nursing home patients were recruited, with 381 coming from Taiwan (43.8% of the total), 352 from Australia (40.5%) and 136 (15.7%) from Japan. Stroke was the most common systemic disease (31.3%), followed by hypertension (25.4%), dementia (24.1%), heart disease (20.7%) and diabetes mellitus (16.8%). Xerosis was the most common skin disease (37.5%), followed by tinea unguium (34.2%), tinea pedis (15.8%), dermatitis (7.0%), tinea manum (5.4%) and scabies (1.4%). Stroke victims were 1.6 times more likely to suffer from skin disease than those who were not (OR 1.6, 95%CI 1.1-2.4, P = 0.0248). Similarly, patients suffering from dementia were 2.2 times more likely to have dermatologic abnormality (OR 2.2, 95%CI 1.4-3.3, P = 0.0003). Overall, this study has shown that stroke and dementia appear to be important systemic conditions influencing the development skin disease among nursing home patients.

Key words: Nursing home, skin disease, Japan, Australia, Taiwan




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