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Gaceta médica de México
On-line version ISSN 2696-1288Print version ISSN 0016-3813
Abstract
CASTILLO-CRUZ, Urania del R. et al. Factors associated with dermatoporosis in a sample of geriatric patients in Mexico. Gac. Méd. Méx [online]. 2023, vol.159, n.1, pp.50-55. Epub May 02, 2023. ISSN 2696-1288. https://doi.org/10.24875/gmm.22000235.
Introduction:
Dermatoporosis is a chronic cutaneous fragility syndrome, characterized by skin atrophy, purpura and pseudo-cicatrices.
Objective:
To determine factors associated with dermatoporosis in a sample of subjects aged ≥ 60 years.
Methods:
Observational, cross-sectional, descriptive, analytical study of subjects aged ≥ 60 years who underwent history taking, physical examination and application of a self-administered dermatoporosis diagnostic questionnaire. To determine the associated factors, a multivariate logistic regression analysis was used.
Results:
In 315 evaluated subjects, the prevalence of dermatoporosis was 29%; 70% were females. Associated risk factors were age > 75 years (p = 0.001), prolonged sun exposure (p = 0.002), use of anticoagulants/antiplatelet medications (p = 0.004), oral steroids (p = 0.03) and chronic kidney disease (p = 0.03); as well maternal age > 40 years at last pregnancy (p = 0.02), breastfeeding for > 7 months per pregnancy and > 18 cumulative months (p = 0.01). Age < 20 years at first pregnancy and menopause after 45 years were related to dermatoporosis absence. The correlation between self-assessment and clinical diagnosis was considerably high (0.95, p < 0.001).
Conclusions:
The risk factors associated with dermatoporosis were similar to those previously reported.
Keywords : Dermatoporosis; Skin aging; Photo-aging; Senile purpura.