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Published on: February 17, 2021
Skin infections and ageing
1Department of Dermatology, University Hospital of North Staffordshire, Central Out-Patients, Hartshill Road, Stoke-on-Trent ST4 7PA, UK. slaube@doctors.org.uk
Abstract:
Elderly individuals have an increased susceptibility to skin infections due to age-related anatomical, physiological and environmental factors. The types of organisms that cause primary skin and soft tissue infections are diverse, and include bacterial, viral and fungal pathogens as well as parasites. In the elderly, these infections and infestations may present with atypical signs and symptoms or may complicate underlying chronic skin disorders. Clinical features, investigations and management of the following important and common skin infections are described in more detail: cellulitis, erysipelas, necrotizing fasciitis, impetigo, folliculitis, furunculosis and carbunculosis, erythrasma, herpes zoster and postherpetic neuralgia, herpes simplex, warts, molluscum contagiosum, dermatophytosis of the skin, hair and nails, candidiasis, and scabies. Treatment should be based on the results of the appropriate diagnostic tests. Correct diagnosis and therapy of skin infections lead to satisfactory outcome in the majority of elderly patients.
Insights
Elderly individuals are more prone to diverse skin infections, including bacterial, viral, and fungal types. Prompt diagnosis and appropriate treatment are key for successful outcomes in older patients.
Area of Science:
- Gerontology
- Dermatology
- Infectious Diseases
Background:
- Elderly individuals exhibit increased susceptibility to skin infections due to age-related physiological changes and environmental factors.
- Skin infections in older adults can present atypically or exacerbate existing chronic skin conditions.
Purpose of the Study:
- To provide a comprehensive overview of common skin infections in the elderly.
- To detail the clinical features, diagnostic methods, and management strategies for these infections.
Main Methods:
- Review of common bacterial, viral, fungal, and parasitic skin infections in the elderly.
- Description of clinical presentations, diagnostic approaches, and therapeutic interventions.
Main Results:
- Common infections include cellulitis, erysipelas, impetigo, herpes zoster, dermatophytosis, candidiasis, and scabies.
- Atypical presentations and complications are frequent in elderly patients.
- Treatment efficacy relies on accurate diagnosis supported by diagnostic tests.
Conclusions:
- Skin infections in the elderly are diverse and require careful diagnosis and management.
- Tailored treatment based on diagnostic results ensures favorable outcomes for most elderly patients.
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