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<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">The aging population is dramatically increasing with the increase in the average life. It is faced with different health problems which include skin as well. The aim was to study the clinical pattern of geriatric dermatoses and associated systemic diseases.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">A cross-sectional study was conducted for a period of 18 months to study the pattern of geriatric dermatoses on 250 geriatric patients aged above 60 years attending Dermatology OPD, RIMS, Imphal</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Out of 250 patients 136 were males and 114 were females. The mean age was 67.28 years and the male to female ratio was 1.19:1. Majority of the patients belonged to the 60-69 age group (66%). 63.2% had the dermatosis for more than 1 month before presentation. The most common dermatoses were: infections (26.4%), eczemas (22.4%), papulosquamous (10.4%), photodermatoses (8.0%) and infestations (6.8%). Herpes zoster (13.2%) and superficial fungal infections (7.6%) was the most common infections. Lichen simplex chronicus (6%). was the main form of eczema. Psoriasis (6%) and lichen planus (4.4%) were the common papulosquamous disorders. Chronic actinic dermatitis (6%) represented as the main pattern of photodermatoses. Uncommon disorders were tumors (4%), immunobullous (2.6%), drug reaction (2.4%), vitiligo (2%) and alopecia areata (0.8%).</span><span lang="EN-IN"> Main co-morbid systemic diseases were hypertension (16.4%) and diabetes mellitus (6.8%). </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Different disease entities in the elderly demands different approach to management. Contributing factors like neglect, delay in seeking treatment, co-morbidities have to be properly addressed. Health education on proper skin care, avoidance of irritants and self-medication etc would help reduce the incidence of common dermatoses.</span></p>

This study was aimed to survey the awareness, knowledge, practicing patterns, and attitudes of dermatologists toward psychocutaneous disorders in a South Indian State. The questionnaire-based study was performed from August 1 to October 31, 2019. Study participants included 123 dermatologists. The questionnaire consisted of nine multiple-choice questions and two open-ended questions regarding knowledge, practicing patterns, and attitude to psychodermatology. Forty five (36.6%) dermatologists completed this online survey. Out of them 73% were women and 40% were trainees. Nine respondents (20%) had frequent experience with psychodermatology, but only 6 (13.3%) were very comfortable in diagnosing and treating psychodermatology patients. Vitiligo was the disease with maximum respondents reported encountering >10 patients monthly with psychologic co morbidities (30, 66.7%). The most common diagnoses which required psychiatric referral were delusion of parasitosis (22.2%), trichotillomania (20%) and neurodermatitis (8.9%). Thirty six respondents (80%) were unaware of any patient or family resources on psychodermatology. Thirty-nine respondents (86.7%) expressed interest in attending educational events on psychodermatology. Survey results showed high need of liaison clinics of dermatology and psychiatry. Many dermatologists lack proper training in treating psychodermatology cases while they may be the sole service provider to the patients. We propose incorporation of psychodermatology curriculum in residency training programs.

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Epidermodysplasia verruciformis (EV) manifests early in childhood as pityriasis versicolor (PV)-like macules on sun-exposed sites such as the face. These hypopigmented lesions closely resemble commoner pediatric dermatoses such as PV or pityriasis alba. In this report of two cases, we describe the distinguishing dermoscopic features of PV-like macules in EV. Unfocused dotted vessels in a hypopigmented or erythematous background with whitish scales and pigment diluted vellus hairs on dermoscopy should raise the suspicion of EV in children presenting with PV-like lesions.