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Nail changes and disorders in elderly Egyptians
Moetaz El-Domyati1, Hossam Abdel-Wahab, Eman Abdel-Azim
1Department of Dermatology, Faculty of Medicine, Al-Minya University, Al-Minya, Egypt.
Journal of Cosmetic Dermatology
|November 18, 2014
Summary
Age-related nail changes are common in the elderly, affecting 88% of individuals over 60. These include brittle and dull nails, highlighting the need for dermatological awareness in geriatric care.
Area of Science:
- Geriatric Dermatology
- Nail Biology
- Age-related Diseases
Background:
- The nail unit significantly impacts cosmetic appearance.
- Elderly individuals face a higher risk of nail alterations due to aging and specific disorders.
Purpose of the Study:
- To clinically and histopathologically identify and evaluate age-related nail changes and disorders in Egyptian elderly people.
Main Methods:
- A study included 400 adults, with 200 elderly (60+ years) and 200 younger controls.
- Comprehensive history taking, general and local examinations were performed.
- Nail biopsies were conducted on selected cases exhibiting age-related nail changes.
Main Results:
- Nail changes were significantly more prevalent in the elderly group (88%) compared to controls (39%).
- Common changes included pale, dull, opaque, lusterless nails (73%), brittle nails (67.5%), decreased lunula visibility (49%), and onychorrhexis (45.5%).
- These changes showed a highly significant increase in the elderly group (P < 0.001).
Conclusions:
- Nail changes and disorders are increasingly prevalent in elderly patients but often overlooked.
- Dermatologists must recognize aging-related nail changes and those linked to other conditions.
- Histopathology aids in accurately diagnosing various nail changes and disorders.
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