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Cited by 140Skin Protection and Agingmelanin and skin pigmentationDermatology and Skin Diseases

Aging in elderly: chronological versus photoaging

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Devinder Mohan Thappa, Priya Cinna T. Durai, Rashmi Kumari, Malathi Munisamy·2012·Indian Journal of Dermatology
DOI 10.4103/0019-5154.100473PMC PMC3482795
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Abstract

BACKGROUND: Skin is a window to aging changes, a biological reality. There is a dearth of studies regarding the various chronological (intrinsic) aging and photoaging (extrinsic) changes seen in Asians. This study was undertaken to detect the clinical pattern of aging skin changes and dermatoses seen in the elderly. MATERIALS AND METHODS: This was a descriptive study conducted on 500 consecutive elderly individuals attending the Dermatology out-patient department. The severity of photoaging was graded using Glogau scale. RESULTS: Most of the population had skin type IV and V. Majority (415, 83%) of our cases had chronological aging without photoaging and the remaining 85 (17%) individuals had photoaging along with chronological aging. The common skin changes due to chronological aging were thin skin, fine wrinkles, xerosis, and loss of elasticity. Photoaging changes such as dyspigmentation, freckles, thick skin, deep wrinkles, melasma, citrine skin, senile purpura, pseudostellate scar, acrokeratoelastoidosis marginalis, and lentigines were less frequent in our study. Smoking and prolonged sun exposure was the risk factors aggravating photoaging. The most common dermatosis was pruritus in 248 (49.6%) individuals, of which 149 (29.8%) had pruritus associated with xerosis. Contact dermatitis was more common in males. Fungal infections were frequently seen in females. Seborrhoeic keratosis (253, 50.6%) was the most common benign neoplasm more commonly seen in males. Cutaneous malignancies were less common in our study population. CONCLUSION: Photoaging changes were less common than chronological aging changes in skin type IV. Chronological changes were more frequent in females than males, while photoaging was more frequent in males.

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  • Skin ageing is a complex and cumulative process caused by structural and physiological changes due to factors intrinsic and extrinsic to the body.

    “the skin is subjected to a complex and cumulative ageing process throughout life, which occurs due to structural and physiological changes caused by factors that are intrinsic and extrinsic to the body [4 -9].”

    From Elastin structure and its involvement in skin photoageing (2017) · cites this paper as [5]

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Authors
Thappa, D. M., Durai, P. C. T., Kumari, R., & Munisamy, M.
Affiliations
Jawaharlal Institute of Post Graduate Medical Education and Research (IN)
Corresponding author
Devinder Mohan Thappa
ORCID
Venue
Indian Journal of Dermatology
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2012
Volume
57
Issue
5
Pages
343
ISSN
0019-5154 (ISSN-L)
DOI
10.4103/0019-5154.100473
PMC
PMC3482795
OpenAlex
W1978780686
Cited by
140
References
0
Citations by year
2026: 6 · 2025: 5 · 2024: 14 · 2023: 14 · 2022: 10 · 2021: 16 · 2020: 10 · 2019: 14 · 2018: 10 · 2017: 20 · 2016: 8 · 2015: 5 · 2014: 5 · 2013: 3
FWCI
5.21
Type
journal article
Language
en
Open access
Licence
cc-by-nc-sa
Locations
  • Indian Journal of Dermatology (publishedVersion, cc-by-nc-sa)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-sa)
  • PubMed Central (publishedVersion, cc-by-nc-sa)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics
  • Health Sciences › Medicine › Dermatology › Skin Protection and Aging
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › melanin and skin pigmentation
  • Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
Keywords
skin aging, chronological aging, photoaging, older adults, Asian populations, dry skin, pruritus, contact dermatitis, fungal skin infection, seborrheic keratosis, skin cancer, smoking, sun exposure, sex differences

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