Humbert P, Dréno B, Krutmann J, Luger TA, Triller R, Meaume S, Seité S, et al.
Clinical interventions in aging. Date of publication 2016 Feb 12;volume 11():141-8.
1. Clin Interv Aging. 2016 Feb 12;11:141-8. doi: 10.2147/CIA.S96232. eCollection
2016.
Recommendations for managing cutaneous disorders associated with advancing age.
Humbert P(1), Dréno B(2), Krutmann J(3), Luger TA(4), Triller R(5), Meaume S(6),
Seité S(7).
Author information:
(1)Research and Studies Centre on the Integument (CERT), Clinical Investigation
Centre (CIC BT506), Department of Dermatology, Besançon University Hospital,
University of Franche-Comté, Besançon, France.
(2)Department of Dermato-Cancerology, Nantes University Hospital, Nantes,
France.
(3)IUF-Leibniz Research Institute for Environmental Medicine,
Heinrich-Heine-University, Düsseldorf, Germany.
(4)Department of Dermatology, University of Münster, Münster, Germany.
(5)International Centre of Dermatology, Hertford British Hospital, Levallois,
France.
(6)Geriatric Service, Wounds and Healing, Rothschild Hôspital, Paris, France.
(7)La Roche-Posay Dermatological Laboratories, Asnières, France.
The increasingly aged population worldwide means more people are living with
chronic diseases, reduced autonomy, and taking various medications. Health
professionals should take these into consideration when managing dermatological
problems in elderly patients. Accordingly, current research is investigating the
dermatological problems associated with the loss of cutaneous function with age.
As cell renewal slows, the physical and chemical barrier function declines,
cutaneous permeability increases, and the skin becomes increasingly vulnerable
to external factors. In geriatric dermatology, the consequences of cutaneous
aging lead to xerosis, skin folding, moisture-associated skin damage, and
impaired wound healing. These problems pose significant challenges for both the
elderly and their carers. Most often, nurses manage skin care in the elderly.
However, until recently, little attention has been paid to developing
appropriate, evidence-based, skincare protocols. The objective of this paper is
to highlight common clinical problems with aging skin and provide some
appropriate advice on cosmetic protocols for managing them. A review of the
literature from 2004 to 2014 using PubMed was performed by a working group of
six European dermatologists with clinical and research experience in
dermatology. Basic topical therapy can restore and protect skin barrier
function, which relieves problems associated with xerosis, prevents aggravating
moisture-associated skin damage, and enhances quality of life. In conclusion,
the authors provide physicians with practical recommendations to assist them in
implementing basic skin care for the elderly in an integrated care approach.
DOI: 10.2147/CIA.S96232
PMCID: PMC4758790
PMID: 26929610 [Indexed for MEDLINE]
