REFERAT

SKIN DISORDER IN ELDERY

OLEH:
A . YA N U A R FA U Z I , S . K E D
DEWI SARTIKA MULIADI, S.KED

PEMBIMBING KLINIK
D R . N U R R A H M A S . M AT H A R , M . K E S , S P. K K
Skin in Elderly
Common Cutaneous Disorders in the
Elderly
Cont ..
 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
Patofisiology
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 %
 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
Patofisiolgy

1. Genetic
2. Exposure to sunlight
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
 Psoriasis

Definition :
Psoriasis is an autoimun disease that is chronic and
residif.

Epidemilogy :
More in men than in women. There is on all age but
general in adults
Patofisiology

 Genetic
 Autoimun

Clinical Symptoms
 Pruritus
 Plak eritematous and skuama
 Symmetric
Menagement

Topical : Flucinolone ( Corticosteroid high dose)

Sistemic : cyclosporin 1-4mg/kgbb/day
 Dermatitis Sebboroich

Definition :
Dermatitis sebboroich is a common chronic dermatosis
papulosquamous easily recognizable. The disease can
occur in infants and adults and is often associated with
increased production of sebum (sebaceous or seborrhea)
scalp and areas rich in sebaceous follicles on the face.
Epidemilogy :
 age in infants within the first 3 months of life, and the
second about the fourth to seventh decade of life
 rarely in adults Incidence 3-5% of the population in the
United States
Clinical Symptoms

 erythema with a reddish color and covered with

greasy scales of which can be removed easily .On the
scalp, lesions can vary from dry scales (dandruff)
until the oily scales with erythema
 On the face, the disease is often the part of the
nasolabial folds, concha of the ear. The man with the
beard, mustache or sideburns, lesions may involve
the hair-bearing areas.
Seborrheic dermatitis of nasolabial folds
Treatment

 Anti-inflammatory : scalp like shampoo (flusinolon

and solution of topical steroid
 immunomodulator has fungicidal properties and
anti-inflammatory (tacrolimus ointment)
 keratolytics include salicylic acid
 antifungal ketoconazole
 Scabies

Definition:
Scabies is a contagious skin disease caused by
infestation and sensitization to Sarcoptes scabiei var
,hominis
Epidemiology :
Several factors can help spread poverty, poor
hygiene, sex, demographic, ecological and degree of
individual sensitization
Clinical Symptoms

 Nocturnal pruritus, ie itching at night due to mite

activity is higher in the dump and hot temperatures
thus disturbing the patient
 Attack in groups, for example in a family, its
inhabitants, the majority of adjacent neighbors will
be attacked by the mites. Despite the mite
infestation, but did not give any symptoms. This
patient is a carrier (carrier)
 A picture of the specific lesions of tunnels
Administration of drugs:
•Sulfur presipitatum,
•Emulsion benzyl-benzoas
(20-25%),
• Gama benzene hexa
chloride 1%, Krotamiton
10% cream,
•Permethrin 5% cream
 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 PB. 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
 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.
THANKS