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 cures. Given getting old populations the necessity for the sort of e-book is pressing.
More and extra aged sufferers will search deal with quite a few pores and skin stipulations, starting from eczema and psoriasis to benign lesions and epidermis cancers. For environmental and physiological purposes, all such stipulations develop into extra regular within the aged and the results of remedy extra challenging.
Following an preliminary bankruptcy on how pores and skin alterations with age, the authors speak about in flip inflammatory, neoplastic, infectious and metabolic/nutritional ailments of the surface, plus pores and skin indicators of systemic sickness in previous age.
Skin illnesses of the Elderly is written in a concise established sort and illustrated via a wealth of top of the range colour photographs. it really is meant to assist dermatologists in perform and coaching, geriatricians, basic care physicians, professional nurses and senior clinical students.
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Extra resources for Skin Diseases in the Elderly : A Color Handbook
Sample text
Lesions of chronic urticaria appear identical to those in the acute form, but recurrences last longer than 6 weeks and sometimes for many years. The underlying cause can be difficult to find and even extensive testing is often negative. It can be a miserable and frustrating condition for patients. Dermatographism is a specific form of chronic urticaria seen more commonly in teenage and young patients. It results from physical perturbation of the skin by scratching or rubbing which leads to an urticarial response minutes later.
Hobbies (such as gardening or woodworking) are another common source of exposure. The use of medical supplies, such as latex gloves, catheters, bandage adhesives, or topical medications, is another common cause and may be seen in patients or their caregivers. DIFFERENTIAL DIAGNOSIS AND INVESTIGATIONS It is important to differentiate contact dermatitis from other causes of eczema (such as asteatotic or atopic eczema), since contact dermatitis can often be easily treated by avoiding the cause. A thorough history and physical examination, with special attention to the patient’s daily routine and personal care/medical products, can often elicit the diagnosis.
SPECIAL POINTS While oxybenzone, a constituent of sunscreens, is the most common photoallergen, it is actually a well-tolerated product with a low relative rate of allergenicity. Nevertheless, it is the sheer volume of use among persons with prolonged and purposeful sun exposure that makes it the most common photoallergen. Of course, treatment of these reactions depends on removing the offending allergen. A careful history (including the patient’s hobbies and occupation) can isolate potential suspects.