Xerosis and pruritus in elderly patients, Part 1.
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Age Distribution↗
Biomedical subjects
Robert A Norman
Publications and source records attributed to Robert A Norman.
Xerosis and pruritus in elderly patients, Part 2.
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Aged↗
Skin cancer in elderly patients.
The role of the dermatologist who provides care to the geriatric patient assumes the care for the integument system. The ability to diagnose and treat cancerous lesions effectively with special care given to the needs of the geriatric patient is considered indispensable. The clinician should accept the responsibility of skin cancers and obtain biopsies with empathy and care.
Aged↗
Cutaneous oncologic and cosmetic surgery in geriatric patients.
A wide array of surgical procedures is available to geriatric patients. These interventions can enhance the appearance of patients and facilitate the removal of skin cancers. Pre-existing medical conditions of geriatric patients must be considered comprehensively when selecting and performing cutaneous surgical procedures. Many older patients suffer from a variety of diseases and take a variety of medications and herbal supplements to ameliorate the consequences of such diseases. In general, skin surgery can be performed safely on even very old patients, provided precautions are followed. The biopsychosocial well-being and essence of patients must also be addressed when performing dermatologic surgery. If patients are treated holistically and comprehensively, their surgical experience can be enhanced and their health and appearance improved.
Dermatologic Surgical Procedures↗
Scabies and pediculosis.
Although scabies and pediculosis are difficult and widespread problems, there are many effective treatments available. Dermatologists play a major role in educating the public in prevention and diagnosis. Although patients are more aware and well informed of the infections because of the Internet and other sources, practitioners are often the most important source of information and treatment in helping to eradicate this worldwide problem.
Aged↗
Cutaneous manifestations of endocrine-metabolic disease and nutritional deficiency in the elderly.
This article explores cutaneous manifestations of endocrine-metabolic disease and nutritional deficiency in the elderly. Topics covered include the following: diabetes mellitus, thyroid disorders, adrenal dysfunction, pituitary disorders, parathyroid disease, nutritional deficiencies, menopause, and HIV.
Aged↗
Eczematous diseases of the geriatric population.
Geriatric patients must endure many medical challenges within and from without the integumental system. Clinicians should be comprehensive in treatment and thorough in investigation of any and all dermatologic concerns. Many of these concerns begin with an eczematous lesion and the differential is broad. Knowledge of the structure and anatomy of the skin, and how time and external forces combine with internal processes to manifest lesional findings, is the key. The dermatologist may have to sift through the entire dermatologic differential each and every time he or she encounters a lesion with eczematous characteristics. Complete examination of patients and careful attention to their history is the best starting point to help patients achieve the most quality from life and the least morbidity from disease.
Aged↗
Aging: an overview.
The elderly population has rapidly increasing needs for skin care. The demographics of aging allow a profound insight into the future of geriatric dermatology.
Aged↗
Long-term care dermatology.
Long-term care dermatology is a growing specialty, serving a U.S. population of over 2.7 million patients. Included here is an overview of the medical and administrative structures of extended care facilities, basics of nursing home management, risk assessment tools, and treatment recommendations.
Aged↗
Antibiotics and resistance in dermatology: focus on treating the elderly.
Although elderly patients are at an increased risk for skin infections, the chief culprits are no different than in younger patients. However, many of these organisms have developed resistance to antibiotics. Resistance increases the morbidity, mortality, and cost of treating infections. The mechanisms by which resistance occurs include efflux of antibiotic through a cellular pump, inactivation of the antibiotic by enzymes, or changes in the target affinity for the antibiotic. For dermatologic conditions in the elderly, documented resistance is seen in staphylococci, streptococci, and enterococci. Clinicians can reduce the development of resistance by following infection control and antibiotic use guidelines. To optimize the antibiotic effect and minimize adverse effects in the elderly, pharmacokinetic changes seen with aging should guide antibiotic choice and dosing.
Aged↗
Wound care in geriatrics.
Wound care is a crucial aspect in caring for the geriatric population. It is important to recognize a wound when it begins and know the proper treatment once a wound develops. First, it is important to assess the wound and determine the type of wound that is being dealt with. One must establish whether the wound is acute of chronic. Then a proper treatment plan must be devised. This article will take you through step by step process of different types of wounds and the proper treatment of those wounds that commonly occur within the geriatric population.
Aged↗
Papulosquamous diseases in the elderly.
This article refers to papulosquamous diseases that are seen in the elderly. Many of these diseases are complex to diagnose due to the fact that they are difficult to identify, because they may resemble a similar disorder, which can be misleading. The problem that is frequently seen with these diseases is that they are commonly misdiagnosed. In this article the authors include information that will help with identifying these diseases. The authors also provide important laboratory exams that can be performed and can help guide diagnosis, as well as differential diagnosis and treatment options.
Aged↗
Xerosis and pruritus in the elderly: recognition and management.
Xerosis (dry skin) is characterized by pruritic, dry, cracked and fissured skin. Dry skin may be diagnosed as xerosis, eczema craquelé, dyshidrotic eczema, or asteatotic eczema. Two of the most common dermatologic problems found in nursing home residents are xerosis and pruitus. This article focuses on the recognition and treatment of these conditions, and stresses the importance of comprehensive treatment for these conditions as a preventative against stasis dermatitis and ulcer formation.
Aged↗
Geriatric dermatology.
Geriatric dermatology is a specialty that is receiving particular attention. Among the other topics and diseases briefly covered here are dermatologic nursing home visits, decubitus ulcers, pruritus/xerosis, eczematous dermatitis, psychogenic dermatitides, infections of the skin, purpura, vascular compromise, chronic venous insufficiency, and bullous pemphigoid. Illnesses originating in other organ systems that are made manifest on the skin often complicate the diagnostic and therapeutic picture. Chronic diseases such as diabetes mellitus and HIV compound the problems in diagnosing and treating geriatric dermatologic diseases. Since the human population is living longer, chronic diseases will become more prevalent, as will diseases of the skin.
Aged↗
Dermatologic surgery in geriatric patients: psychosocial considerations and perioperative decision-making.
BACKGROUND: Dermatologic surgery, both for cutaneous malignancies and for management of the visible signs of photodamage, is frequently performed on older persons. OBJECTIVE: To review common psychologic and physiologic limitations among the elderly that may affect their ability to tolerate cutaneous surgery and to outline a stepwise approach for management of these conditions during the perioperative period. METHODS: Literature review, MEDLINE (1966-2001) search, and personal experience. RESULTS: Communication with patients, their families, and their physicians, management of patients' underlying medical problems, and special sensitivity to patients' cognitive and physiologic limitations can minimize perioperative risk during cutaneous surgery in the elderly. CONCLUSION: Given appropriate physician management, elderly patients can usually safely undergo cutaneous surgery.
Aged↗
Past and future: porphyria and porphyrins.
Porphyria is a compelling disease--disrupted enzyme pathways, heightened sensitivities, and a fascinating history tied in with tales of Dracula. This review discusses the history, pathophysiology, classification, and treatment of porphyria. It further discusses the way in which research on the etiologies of the various porphyrias has led to the development of porphyrin-based photodynamic therapy, which shows great promise in targeted therapy for a variety of serious pathologies.
Diagnosis, Differential↗
Dermatologic presentation of omphalomesenteric duct remnant.
A 6-month-old girl was presented to the clinic by her parents for evaluation of a skin lesion on the umbilicus present since birth (Figure). The infant's parents were concerned mainly because of its appearance, and they related that the child was essentially asymptomatic. There was no history of trauma to the area, and the parents denied any complications during delivery. The lesion appeared as a violaceous polypoid papule in the umbilical depression. A biopsy was performed and sent for histologic evaluation. The dermatopathology report revealed the presence of ectopic intestinal mucosa consistent with omphalomesenteric duct remnant. We fully discussed the situation with the parents and referred the child to a pediatric surgeon for complete evaluation and removal of any ectopic tissue.
Choristoma↗