Geriatrics

Skin Diseases in the Elderly : A Color Handbook by Colby Craig Evans, Whitney A High

By Colby Craig Evans, Whitney A High

In this new colour instruction manual, the authors deal systematically with these dermis stipulations which are specific to or extra universal within the aged overlaying checking out, analysis and treatments. Given getting older populations the necessity for any such ebook is pressing.

More and extra aged sufferers will search take care of quite a few pores and skin stipulations, starting from eczema and psoriasis to benign lesions and dermis cancers. For environmental and physiological purposes, all such stipulations develop into extra commonly used within the aged and the results of remedy extra challenging.

Following an preliminary bankruptcy on how epidermis adjustments with age, the authors speak about in flip inflammatory, neoplastic, infectious and metabolic/nutritional illnesses of the outside, plus epidermis symptoms of systemic ailment in previous age.

Skin illnesses of the Elderly is written in a concise established kind and illustrated through a wealth of high quality colour pictures. it's meant to assist dermatologists in perform and coaching, geriatricians, basic care physicians, professional nurses and senior clinical students.

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Skin Diseases in the Elderly : A Color Handbook

During this new colour guide, the authors deal systematically with these pores and skin stipulations which are specific to or extra universal within the aged protecting trying out, analysis and treatments. Given growing old populations the necessity for the sort of booklet is pressing. an increasing number of aged sufferers will search take care of quite a few epidermis stipulations, starting from eczema and psoriasis to benign lesions and epidermis cancers.

Additional resources for Skin Diseases in the Elderly : A Color Handbook

Example text

Challenge reactions can be initiated which replicate the eruption in response to purposefully dosed UV light exposure. SPECIAL POINTS It is thought that females may be particularly predisposed to PMLE because certain estrogens inhibit immunosuppression that normally accompanies exposure to UV light. Treatment is usually short-term oral steroids at times of outbreaks (such as on a sunny vacation). Vigorous sun protection may prevent outbreaks. Repeated occurrences may benefit with ‘hardening’ using narrow-band or PUVA phototherapy in the early spring, which will often keep a patient clear all summer.

Accordingly, as the disease progresses, UV radiation alone, without the photoallergen, may trigger the immune response and propagate the disease. Treatment of CAD can be challenging. Vigorous sun protection with a brimmed hat and sunscreen is critical, even on cloudy days. Systemic steroids may help with short-term flairs but are not a good long-term choice. Systemic immunosuppressives such as cyclosporine and mycophenolate mofetil can be helpful. Given that many of these patients have a long history of sun exposure, long-term immunosuppression may significantly increase the risk of skin cancer.

Age-appropriate Neutrophilic dermatoses 31 cancer screening and evaluation for inflammatory bowel disease are indicated if no other underlying cause is found, again particularly if the patient presents with atypical bullous or ulcerative lesions. SPECIAL POINTS Treatment of Sweet syndrome is aimed at resolving and preventing the nodules. It is 47, 48 Sweet syndrome. critical to exclude an underlying leukemia or myelodysplastic syndrome when a patient has a neutrophilic dermatosis. Systemic steroids are often quickly helpful in improving a flare, but a poor choice for long-term maintenance due to side effects.

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