Senile Purpura
Conditions
Keywords
dermatoporosis, senile, purpura
Brief summary
Dermatoporosis is a chronic syndrome of skin insufficiency or fragility. It is characterized by cutaneous atrophy, senile purpura and stellate pseudoscars. Dermatoporosis prevalence is 37% in ≥65 years. The objective was to determine factors associated with this diagnosis in \>60 years old patients of the outpatient clinic in the Hospital Central Dr. Ignacio Morones Prieto San Luis Potosí, México. An observational, cross-sectional, descriptive, and analytical study was performed. Patients \>60 years old were selected. A clinical history, clinical examination, and application of a validated diagnostic self-questionnaire were performed.
Detailed description
Dermatoporosis is a chronic syndrome of skin insufficiency or fragility. It is characterized by cutaneous atrophy, senile purpura and stellate pseudoscars. Dermatoporosis prevalence is 37% in ≥65 years.The objective was to determine factors associated with this diagnosis in \>60 years old patients of the outpatient clinic in the Hospital Central Dr. Ignacio Morones Prieto San Luis Potosí, México. An observational, cross-sectional, descriptive and analytical study was performed. Through consecutive non-probabilistic sampling, patients \> 60 years old were selected, who underwent a clinical history, clinical examination, and the application of a validated diagnostic self-questionnaire. To determine the association of the factors, a multivariate logistic regression analysis, it will be used the PRIMERv6 software with the PERMANOVA package. A p \<0.05 was considered significant. The normality of the distribution of the continuous variables was evaluated with the Shapiro Wilk test. The Student's t test was performed on variables that met the homogeneity of variance requirements. In the variables that did not meet this criterion, a non-parametric analysis was performed with the Mann U Whitney test. For the analysis of categorical variables, Fisher's exact test or chi-square test was used. Continuous variables were reported by mean (median) \[Q1, Q3\] (min - max) and by standard deviations as their distribution corresponds. Nominal categorical variables were expressed as frequencies
Interventions
OTHERQuestionnaire about associated factors
Questionnaire about age, prolonged sun exposure, intake of anticoagulants / antiplatelets, intake of oral steroids, chronic kidney disease. Maternal age\> 40 years in their last child , time of lactation per pregnancy and cumulative time of lactation. Age of the first pregnancy and age of menopause onset.
DIAGNOSTIC_TESTSelf questionnaire diagnostic tool
Self questionnaire of physical characteristics
OTHERPhysical Examination
Physical Examination made by a dermatologist
Sponsors
Universidad Autonoma de San Luis Potosí
Study design
Observational model
CASE_CONTROL
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Patients over 60 years
Exclusion criteria
* Patients in whom physical examination cannot be performed due to the use of orthopedic devices such as splints, bandages, etc. * Patients with whom interviewer-patient verbal communication is difficult due to some hearing or neurological deficit. * Patients with neurological, psychiatric disorders who are unable to provide reliable information. (disorganized, incoherent speech, cognitive deficit)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Factors associated with Dermatoporosis | At time of enrollment | Presence of factors related to age, sex, personal history of diseases, chronic oral treatments, gyneco-obstetrics background, chronic photoexposure |
| Diagnostic by self assesment tool | At time of enrollment | Diagnostic of dermatoporosis made by self assesment tool |
| Physical examination | At time of enrollment | Presence of pseudoscars (stellate scars) in the physical examination |
Countries
Mexico
Outcome results
None listed