“Life Goes On – Live your Skin!”: A Social Solidarity Project

  • Ana Filipe Monteiro Interna do Internato de Formação Específica de Dermatovenereologia, Hospital de Santarém EPE, Santarém, Portugal
  • Margarida Rato Interna do Internato de Formação Específica de Dermatovenereologia, Hospital de Santarém EPE, Santarém, Portugal
  • César Martins Assistente Hospitalar Graduado de Dermatovenereologia, Hospital de Santarém EPE, Santarém, Portugal
Keywords: Skin Diseases, Skin Neoplasms, Mass Screening

Abstract

Introduction: Premalignant cutaneous lesions, skin cancer, and cutaneous xerosis are diseases whose incidence continues to increase in our older population. Concerning the contest “Dermatologist from the Heart” awarded by Fondation La Roche Posay in 2015, we put into practice the winning project “Life goes on, Live your skin!”. The main purpose of the project was to provide specialized health assistance and prevention of skin cancer and cutaneous xerosis in a population over 65 years old living in social institutions in the district of Santarém.

Material and Methods: Between February 2016 and April 2017, a medical team consisting of a specialist and two Dermatovenereology residents visited eight carefully selected institutions of the area of Santarém.

Results: A total of 301 patients were observed, with a high prevalence of actinic keratoses (42.8%) and cutaneous xerosis (34.2%), followed by basal cell carcinoma (9.3%), suspected pigmented lesions (3.7%) and squamous cell carcinoma (1.7%).

Conclusion: This project allowed us to provide health care in distant places and to a population with limited access to specialized medical care, thereby increasing their quality of life, to obtain real numbers about prevalence of frequent pathologies in elderly, screen a high number of patients, treat premalignant lesions and avoid their evolution to skin cancer, and establish primary and secondary prevention programs in the institutions.

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References

Paul C, Maumus-Robert S, Mazereeuw-Hautier J, Guyen CN, Saudez X, Schmitt AM. Prevalence and Risk Factors for Xerosis in the Elderly: A Cross-Sectional Epidemiological Study in Primary Care. Dermatology 2011;223:260–5.

Yalcin B, Tamer E, Toy GG, Oztas P, Hayran M, Alli N. The prevalence of skin diseases in the elderly: analysis of 4099 geriatric patients. Int J Dermatol 2006;45:672–6.

White-Chu EF, Reddy M. Dry skin in the elderly: Complexities of a common problem. Clin Dermatol 2011;29:37–42.

Flohil SC, van der Leest RJT, Dowlatshahi EA, Hofman A, de Vries E, Nijsten T. Prevalence of Actinic Keratosis and Its Risk Factors in the General Population: The Rotterdam Study. J Invest Dermatol 2013;133:1971–8.

Eder J, Prillinger K, Korn A, Geroldinger A, Trautinger F. Prevalence of actinic keratosis among dermatology outpatients in Austria. Br J Dermatol 2014;171:1415–21.

Ferrándiz C, Plazas MJ, Sabaté M, Palomino R, EPIQA Study Group. Prevalence of actinic keratosis among dermatology outpatients in Spain. Actas Dermosifiliogr 2016;107:674–80.

Memon AA, Tomenson JA, Bothwell J, Friedmann PS. Prevalence of solar damage and actinic keratosis in a Merseyside population. Br J Dermatol 2000;142:1154–9.

Harvey ’ I, Frankel ’ S, Marks2 R, Shalom2 D, Nolan-Farrell3 M. Non-melanoma skin cancer and solar keratoses. I. Methods and descriptive results of the South Wales skin cancer study. Br J Cancer 1996;74:1302–7.

Massa A, Alves R, Amado J, Matos E, Sanches M, Selores M, et al. Prevalence of cutaneous lesions in Freixo de Espada à Cinta. Acta Med Port 2000;13:247–54.

Schaefer I, Augustin M, Spehr C, Reusch M, Kornek T. Prevalence and risk factors of actinic keratoses in Germany - analysis of multisource data. J Eur Acad Dermatology Venereol 2014;28:309–13.

Naldi L, Chatenoud L, Piccitto R, Colombo P, Placchesi EB, La Vecchia C, et al. Prevalence of Actinic Keratoses and Associated Factors in a Representative Sample of the Italian Adult Population. Arch Dermatol 2006;142:722–6.

Leiter U, Eigentler T, Garbe C. Epidemiology of skin cancer. Adv Exp Med Biol 2014;810:120–40.

Andrade P, Andrade P, Brites MM, Vieira R, Mariano A, Reis JP, et al. Cancro cutâneo não-melanoma no serviço de dermatologia dos HUC – revisão de 5 anos. Rev da Soc Port Dermatologia e Venereol 2011;69:421.

Apalla Z, Lallas A, Sotiriou E, Lazaridou E, Ioannides D. Epidemiological trends in skin cancer. Dermatol Pract Concept 2017;7:1–6.

Swetter SM, Waddell BL, Vazquez MD, Khosravi VS. Increased effectiveness of targeted skin cancer screening in the Veterans Affairs population of Northern California. Prev Med (Baltim) 2003;36:164–71.

Published
2018-10-05
How to Cite
Monteiro, A. F., Rato, M., & Martins, C. (2018). “Life Goes On – Live your Skin!”: A Social Solidarity Project. Journal of the Portuguese Society of Dermatology and Venereology, 76(3), 253-260. https://doi.org/10.29021/spdv.76.3.911
Section
Original Articles