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Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
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Eczema in elderly people.

Florence Tétart1, Pascal Joly2

  • 1Centre Erik Satie d'Allergologie et de Nutrition,, Dermatology Department, Rouen University Hospital, Rouen University Hospital, 1 rue de Germont, 76000 Rouen, France.

European Journal of Dermatology : EJD
|December 1, 2020
PubMed
Summary
This summary is machine-generated.

Eczema in older adults presents unique diagnostic and management challenges. This review covers differential diagnoses, drug-induced causes, and emerging factors like pollution, alongside treatment options and their risks.

Keywords:
atopic dermatitisdrug hypersensitivityeczemaelderlyskin aging

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Area of Science:

  • Dermatology
  • Geriatrics

Background:

  • Eczema is a frequent dermatological complaint in the elderly population.
  • Differential diagnoses are crucial, including scabies, bullous pemphigoid, mycosis fungoides, and contact dermatitis, influenced by comorbidities like leg ulcers.

Purpose of the Study:

  • To review the complexities of eczema diagnosis and management in elderly patients.
  • To highlight specific considerations such as drug-induced eruptions and de novo atopic dermatitis.

Main Methods:

  • Literature review of eczema in the elderly.
  • Analysis of differential diagnoses, etiological factors, and treatment strategies.

Main Results:

  • Common triggers include antihypertensive drugs; de novo atopic dermatitis linked to pollution is emerging.
  • Emollients and topical corticosteroids are standard treatments, but carry risks like skin atrophy, diabetes, and hypertension in the elderly.

Conclusions:

  • Management requires careful consideration of differential diagnoses and potential adverse effects of treatments in older adults.
  • Phototherapy and low-dose methotrexate are potential alternative treatment options for eczema in the elderly.