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Conclusions The most common dermatologic diseases diagnosed by internists differ considerably from those diagnosed by dermatologists.
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Medline Plus: Acne A complete online resource from the US National Library of Medicine and the National Institutes of health, with information on treatment, prevention, genetics, research, pictures, and diagrams.


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HealthBoards Acne Bulletin Board Contains a variety of discussion threads with topics ranging from diet and medications to blackheads and pimples. Acne Clinical Trials in the U. This is a comprehensive list of all the clinical trials currently underway conducting acne research.

Provided by the U. National Institutes of Health. Vascular Birthmarks Foundation A support and informational resource for individuals affected by hemangiomas, port wine stains, and other vascular birthmarks and tumors. Online discussion forum, group information and informational community.

10 of the Most Common Skin Conditions: Photos and Treatments

American Academy of Dermatology Birthmarks Page Information on macular stains, hemangiomas, and port wine stains, with descriptions and treatment overviews. Eczema Canada An informative eczema resource for Canadians, with information on adult and child eczema, treatment, questions, as well as an Eczema Challenge quiz. Penny's World Child-focused information site using an animated girl as guide. Includes downloadable books, a playroom, and eczema faqs and links.

Medline Plus: Eczema A complete online resource from the US National Library of Medicine and the National Institutes of health, with information on treatment, disease management, specific conditions, and related issues.

EMR: Identifying Potential Solutions to Common Problems

National Eczema Association Offers improved health and quality of life for individuals with eczema through research, support and education. Eczema Clinical Trials in the U. This is a comprehensive list of all the clinical trials currently underway conducting eczema research.

Talk Eczema Information, personal stories, eczema care, treatment information, and a bulletin board. National Alopecia Areata Foundation A content-rich site with information on research, news, and conferences. They host a bulletin board as well as support groups throughout North America, and have contact emails and phone numbers for support group leaders. International Society of Hair Restoration Surgery The society has excellent resources ranging from hair loss patient stories and brochures to information on surgical and medical hair restoration. They maintain a large searchable database of physicians who specialize in hair restoration.

2. Atopic dermatitis (Eczema)

Review : "The text reads easily and provides the basic knowledge required for most skin conditions encountered in family practice. Buy New Learn more about this copy. About AbeBooks. Other Popular Editions of the Same Title. Search for all books with this author and title. Customers who bought this item also bought. Stock Image. Published by McGraw-Hill Professional. New Quantity Available: 1. Seller Rating:.

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Fleischer M. Published by McGraw-Hill Professional New Paperback Quantity Available: 1. Fleischer and Fleischer, Alan B. Many histological changes occur with aging and photoaging Tables I and II. Variation in cell size, shape, and staining results in epidermal dyscrasia of photoaged skin. The dermis becomes relatively acellular, avascular, and less dense, and the loss of functional elastic tissue results in wrinkles.

The nerves, microcirculation, and sweat glands undergo a gradual decline, predisposing to decreased thermoregulation and sensitivity to burning. Nails undergo a slow decline in growth, with thinning of the nail plate, longitudinal ridging, and splitting.

The subcutaneous fat layer atrophies on the cheeks and distal extremities, but hypertrophies on the waist of men and thighs of women. Many elderly persons will spend their time in nursing homes and assisted living facilities. This article will look at common skin disorders found in the elderly individual. These include xerosis, pruritis, eczematic dermatitis, purpura, and chronic venous insufficiency.

Xerosis is characterized by pruritic, dry, cracked, and fissured skin with scaling. Xerosis occurs most often on the legs of elderly patients but may be present on the hands and trunk. The appearance of xerotic skin is like a pattern of cracked porcelain. These cracks or fissures are present from epidermal water loss. If the skin splits and cracks deeply enough to disrupt dermal capillaries, bleeding fissures may occur.

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Scratching and rubbing activities produce excoriations, an inflammatory response, lichen simplex chronicus, and even edematous patches. Subsequently, environmental allergens and pathogens can easily penetrate the skin, increasing the risk of allergic and irritant contact dermatitis, as well as infection. Allergic and irritant contact dermatitis may be a cause for a persistent and possibly more extensive dermatitis, despite therapy.

Eczematous changes can occur with a delayed hypersensitivity response, even in advanced age. This cycle needs to be broken to disable the process and prevent complications.


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    4. Xerosis preys upon the elderly. This is primarily due to the fact that these individuals have decreased sebaceous and sweat gland activity; this reduced activity predisposes the aged skin to moisture depletion. There are a number of situations that deplete the skin's moisture. For example, xerosis tends to relapse in the winter when a lower humidity environment predominates.

    Some of these pre-existing situations include radiation, end-stage renal disease, nutritional deficiency especially zinc and essential fatty acids , thyroid disease, and neurological disorders with decreased sweating, anti-androgen medications, diuretic therapy, human immunodeficiency virus, and malignancies. Consequently, the skin's inability to retain moisture and provide an effective barrier directly impacts the development of xerosis in aging skin. The xerotic vicious cycle needs to be broken to disable the process and prevent complications.

    In this case, a sensitive skin variant formulation should be substituted. Antipruritics should be added if disturbing pruritis is present. Other additional management suggestions include the following:. Characteristic features of pruritis include scratching and inflammation. The condition is often associated with other underlying diseases. Itching is thought to be induced by the effect of histamine and is mediated exclusively by the peripheral nervous system. However, there are a number of dermatological and metabolic conditions that involve pruritis.

    Xerosis is the most common underlying dermatological condition.


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    Other dermatological conditions include infestations, infection fungal, bacterial or viral , lichen planus, nodular prurigo, dermatitis, eczema, and miliaria. Underlying metabolic conditions that can produce pruritus include renal failure, HIV, diabetes mellitus, thyroid disease, parathyroid disease, hypervitaminosis A, iron-deficiency anemia, neuropathy, hepatic disease, malignancy, and drugs.

    The specific etiology is then determined. To maximize effectiveness, pruritis treatment strategy is then tailored to the specific underlying condition. There is little understanding of the pathophysiology of pruritus. Pruritus is known to be a feature of inflammation. Inflammation is the result of activation of the body's immune response, normally in response to an antigen. Involved skin cells have IgE molecules on their surface.