1. GERIATRIC DERMATOLOGY BY Girija charugundla. MD

2. SKIN CHANGES Intrinsic factors- decreased rate of epidermal turnover. Decreased activity of melanocytes, fibroblasts, langhans cells, sebaceous glands; increased collagen crosslinks Extrinsic factors – sun exposure, cigarettesmokig, weight gain

3. ITCHY SKIN Xerosis/ Asteotic Eczema Drug eruption Thyroid disease Diabetes Chronic renal or liver disease Lymphoma scabies

4. ASTEOTIC ECZEMA Low humidity- winter, use of heaters Over bathing Failure to use emollients Decreased sebum production – intrinsic aging

5. ASTEOTIC ECZEMA Erythematous,scaly, xerotic patches and plaques commonly on distal extensor legs and arms, back and lower abdomen. May be generalized

6. Asteotic Eczema

7. Rosacea Etiology unknown Fair skinned individuals Often associated with sun damaged skin Often associated with blepharitis. Blepharoconjunctivitis Trigger factors- sun, hest/cold, stres. Strong emollieints, hot liquids, sspicy foods, alcohol beverages, chemical irritants

8. Rosacea

9. Scabies Sarcoptes scabies mite Pruritis may be absent in older patients or those with dementia Nursing home patients Clinical presentation: Burrows, excoriated papules –Crusted scabies

10. Seborrheic Dermatitis

11. Herpes Zoster

12. Seborrheic Keratosis

13. Multiple Seborrheic Keratoses

14. Solar/Actinic/Senile keratosis

15. Basal Cell Carcinoma

16. Squamous cell carcinoma

17. Superficial spreading melanoma

18. Lentigo maligna

19. Solar Lentigo