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Non-neoplastic Disorders of the Aging Skin

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Textbook of Aging Skin

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Abstract

Diseases and disorders of the skin increase in prevalence in older people. Most people over 65 have at least one skin disorder, and many have two or more conditions which can create substantial morbidity and mortality and deterioration in quality of life in older adults. Primary care providers must monitor the condition of the patient’s skin and refer to the dermatologist as needed. It is estimated that cutaneous diseases occur in more than 50 % of otherwise healthy older adults. Common conditions include dry skin (xerosis and pruritus), inflammatory scaling dermatoses (eczema, contact dermatitis, and seborrheic dermatitis), cutaneous expression of autoimmune disorders (bullous pemphigoid, benign mucous membrane pemphigoid, pemphigus vulgaris, paraneoplastic pemphigus, and lichen sclerosis), vascular disorders (pressure ulcer and rosacea), and viral infection (specifically herpes zoster or shingles). Management of skin disease in the elderly must take into account variables pertinent to the older patient and accurate diagnosis is key. Diagnosis of drug reactions is critical before the any underlying cutaneous disorder can be identified. Topical treatment must take into account the fragility of aged skin compromised by structural degeneration and comorbidities. Psychosocial issues must also be considered in treatment decisions to assess whether the patient will be able to comply with the therapy regimen.

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Authors and Affiliations

  1. The Procter & Gamble Company, Winton Hill Business Center, 6110 Center Hill Avenue, Cincinnati, OH, 45224, USA

    Miranda A. Farage & Kenneth W. Miller

  2. San Gallicano Dermatological Institute, Rome, Italy

    Enzo Berardesca

  3. Department of Dermatology, University of California, 90 Medical Center Way, Surge 110, 0989, San Francisco, CA, 94143-0989, USA

    Howard I. Maibach

Authors
  1. Miranda A. Farage
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  2. Kenneth W. Miller
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  3. Enzo Berardesca
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  4. Howard I. Maibach
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Corresponding author

Correspondence to Miranda A. Farage .

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Editors and Affiliations

  1. Procter & Gamble Co., Cincinnati, Ohio, USA

    Miranda A. Farage

  2. Procter & Gamble Co., Cincinnati, Ohio, USA

    Kenneth W. Miller

  3. Department Dermatology, University of California, San Francisco School of Medicine, San Francisco, California, USA

    Howard I. Maibach

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Farage, M.A., Miller, K.W., Berardesca, E., Maibach, H.I. (2015). Non-neoplastic Disorders of the Aging Skin. In: Farage, M., Miller, K., Maibach, H. (eds) Textbook of Aging Skin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-27814-3_54-2

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  • DOI: https://doi.org/10.1007/978-3-642-27814-3_54-2

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  • Online ISBN: 978-3-642-27814-3

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