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.