Hair and Nail Diseases in the Elderly Population

    March 2018 in “ Clinics in Dermatology
    Austin J. Maddy, Antonella Tosti
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    TLDR Older adults commonly experience hair loss and nail disorders due to aging and health changes, affecting their quality of life.
    In 2018, a study focused on the prevalence of hair and nail diseases in the elderly population, as these conditions became more common due to increased lifespans. Common hair diseases in the elderly included androgenetic alopecia, senile alopecia, frontal fibrosing alopecia, and erosive pustular dermatosis of the scalp. These conditions were associated with changes in hair follicle stem cells and melanocytes due to genetic and environmental factors, leading to thin, dull, dry, and brittle hair. Nail diseases associated with advanced age included onychomycosis, brittle nails, onychocryptosis, onychoclavus, onychogryphosis, subungual hematomas, subungual exostosis, myxoid cysts, and malignancies. These were linked to impaired circulation, alterations in elastic and connective tissue, and concurrent dermatologic or systemic disease. The prevalence of onychomycosis increased with age, reaching 20% in patients aged over 60 years. These diseases significantly impacted the patients' quality of life.
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