Frequency of hand eczema in the elderly: Cross-sectional findings from the German AugUR study

Contact Dermatitis. 2021 Nov;85(5):489-493. doi: 10.1111/cod.13920. Epub 2021 Jul 12.

Abstract

Background: Hand eczema (HE) is a chronic inflammatory skin disease caused by a genetic predisposition and environmental exposures. There is a lack of population-based studies on skin diseases in the elderly.

Objectives: Our aim was to estimate the frequency of HE in the elderly to determine its burden of disease in this particular population.

Methods: We analyzed data from the research platform AugUR, a study on chronic diseases in the elderly (n = 1133, ages 70-95 years, mean age 77.6, 45.1% women). Raw frequencies were estimated using self-reports on physician-diagnosed HE from a standardized personal interview. Frequencies were standardized to the Bavarian population weighted by gender and 5-year age-groups.

Results: In our sample 2.7% (95% confidence interval [CI] 1.6-4.3) of the paticipants reported to ever have been diagnosed with HE. Among those 57% were male. After standardization, the frequency was estimated at 2.8% (95% CI 1.9-3.9). There were no differences between male and female participants.

Conclusions: Compared to other studies on lifetime frequency of HE, our estimates seem to be remarkably lower. More in-depth studies with validated diagnoses are warranted to precisely estimate the burden of HE in the elderly.

Keywords: dermato-epidemiology; frequency; hand eczema; skin condition.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Chronic Disease / epidemiology
  • Cross-Sectional Studies
  • Dermatitis, Allergic Contact / epidemiology
  • Eczema / epidemiology*
  • Female
  • Geriatric Assessment / methods*
  • Germany / epidemiology
  • Hand Dermatoses / epidemiology*
  • Humans
  • Male
  • Prevalence
  • Risk Factors
  • Surveys and Questionnaires