Sunteți pe pagina 1din 19

REFERAT

SKIN DISORDER IN ELDERY

OLEH:
FAT H U R R A H M A N
MEI ANDANI LISTIANI

PEMBIMBING KLINIK
d r. S U K M A A N J AYA N I , M . K e s , S p . K K
Skin in Elderly
Common Cutaneous Disorders in the Elderly
Cont ..
Psoriasis

Psoriasis is a chronic inflammatory skin disease, with a strong


genetic basis, characterized by complex alterations in
epidermal growth and differentiation and multiple
biochemical, immunologic, and vascular abnormalities, and a
poorly understood relationship to nervous system function.
The classic lesion of psoriasis is a well-demarcated, raised, red
plaque with a white scaly surface Lesions can vary in size from
pinpoint papules to plaques that cover large areas of the body.
Under the scale, the skin has a glossy homogeneous erythema,
and bleeding points appear when the scale is removed,
traumatizing the dilated capillaries below (the Auspitz sign)
Figure Chronic plaque
psoriasis located at typical
sites. Note marked symmetry
of lesions.
Clinical Symptoms
Pruritus
Plak eritematous and skuama
Symmetric

Menagement
Topical : Flucinolone ( Corticosteroid high dose)
Sistemic : cyclosporin 1-4mg/kgbb/day
Sebborrheic Keratosis

Definition :
Sebborrheic Keratosis is
benign tumor darker
pigmented which is more
often found in eldery

Epidemiolgy :
30 % on after under 30 years
and increased 100 % on after
50 years over
Clinical Symptoms

a. The cumulus lesion


delimeted values
emphasized, brown patch,
flat and dull
b. The developed into
papul, soft and stuck-
on appearance
c. predilection : on the
greasy, face and upper
of body
Treatment

Medikamentosa :
Ammonium Laktat
Asam alfa hidroksil

Surgery :
Electrosurgery
Bullous pemphigoid

Definition :
Bullous pemphigoid is a
common chronic autoimmune
disease characterized by the
presence of subepidermal bullae
on the skin. This disease usually
affects the elderly with bullous
eruption accompanied by intense
itching.
Epidemiology :
Bullous pemphigoid patients
aged over 60 years with a peak
incidence occurs around the age
of 80 years.
Clinical Symptoms

Non phase : bullous skin manifestations can be


polymorphic bullous pemphigoid. In the prodromal
phase nonbulosa disease, signs and symptoms are
often nonspecific, with mild to severe itching or in
conjunction with eczema, or urticaria papules,
excoriation which can last for several weeks or months.
Phase Bullous : bullous phase is characterized by the
development of vesicles and bullae on erythematous or
normal skin that looks together with urticaria and
infiltrate papules and plaques are sometimes forming a
circular pattern.
Lesion of skin : Looks erythema, papule or type of
lesion urticaria may precede the formation of bullae.
Bula large, tense, oval or round. Eruption can be
local or generalized.
Predilection : axilla, medial thigh, abdomen, forearm
flexor, lower leg
Figure bullous pemphigoid
Treatment consists of systemic prednisone. Mild cases
may require only topical corticosteroids. Such as
prednisone. Prednisolone dose of 40-60 mg a day, if it
has visible improvement in the lower dose slowly
In elderly patients with symptoms that are not
progressive, immunosuppressive drugs can be used in
the treatment early without being combined with
prednisone in severe symptoms.
High-dose intravenous methylprednisolone therapy
was also reported to be effective to control quickly the
formation of bullae active in bullous pemphigoid.
ULCER DECUBITUS

Definition :
Ulcer decubitus is skin demage that
occurs due to lack of blood flow and
irritation on the skin covering the
protruding bones, which the skin is
getting pressure from beds,
wheelchairs cats, bandages or other
hard object in the long term.
Epidemiolgy :
filter occors in old age with early
onset disease
Stadium Ulcer Decubitus
Treatment Ulcer Decubitus

a. Non Medikamentosa
Diet Nutrition
Imobilisasi
b. Medikamentosa
keep healt in ulcer : Kompres Nacl 0,9 %
increase and solfe infection : Antibiotic
helping cel to build new from : Asam salisil 2 %
T H A N K

Y O U

S-ar putea să vă placă și