Diagnosis of Aging Skin DiseasesCuvânt înainte de A.M. Kligman Editat de Robert A. Norman
en Limba Engleză Carte Paperback – 25 Aug 2008
The population is aging rapidly, even faster than demographers envisioned two decades ago. Longevity, especially for women, has nearly doubled, since the beg- ning of the twentieth century, now approaching 85. People over 80 are the fastest growing segment in the aging epidemic. Remarkably every day now 1,000 Ame- cans will celebrate their 100th birthday! Today, many 70-year-old persons, who have aged successfully, have about the same degree of health and vigor as people 50 years old, a generation ago. Despite these gains, it is an inescapable truism that increasing age is associated with increasing physiologic losses, which negatively affect the quality of life. P- sons in their eighties and nineties may be taking as many as 10 different medicines daily to control and moderate age-dependent disorders such as arthritis, diabetes, hypertension, heart disease, Alzheimer’s. Textbooks of geriatric medicine recognize and give each of these the space they deserve. By contrast, age-associated cutaneous disorders are given short shrift in geriatric texts. Skin disorders, when mentioned at all, are inadequately presented. This do- grading of cutaneous disorders occurs despite the ndings of national health surveys which showed that people over 70 years of age had at least one skin disorder w- thy of medical attention. Startlingly, the same rigorously conducted epidemiologic survey showed that the number and diversity of skin problems increased proporti- ately with advancing age. Some older persons had as many as 10 problems which were deemed to be worthy of medical attention.
The Demographic Imperative.- Structure and Function of Aging Skin.- Photoaging.- Aging and the Skin: The Geriatrician’s Perspective.- White and Red Lesions of the Oral Mucosa.- Nail and Hair Disorders in the Elderly.- Rosacea in the Elderly.- Variations in Aging in Ethnic Skin and Hair: Corrective and Cosmetic Treatment.- Skin Cancer in Elderly Patients.- Differential Diagnosis of Autoimmune Bullous Diseases in the Elderly.- Geriatric Fungal Infections.- Xerosis and Pruritus in the Elderly—Recognition and Management.- Sarcoidosis in Aging Skin.- Inflammatory Scaling Dermatoses (Psoriasis).- The Cutaneous Manifestations of Nutritional Deficiencies.- Infestations, Bites and Stings in Aging Skin.- Psychoneurodermatologic Disorders.- Common Vascular Disorders in the Elderly.- Pressure Ulcers.- Cutaneous Manifestations of Diabetes.- Pain Management in Acute and Chronic Wounds.- The Geriatric Patient: Head to Toe Skin Evaluation.- Selected Geriatric Dermatology Case Studies.
"This book … covers various topics in general dermatology pertaining to aged skin. … The audience is geriatricians. … it may be a good introductory book for geriatricians who want a better understanding of their patients’ skin problems." (Patricia Wong, Doody’s Review Services, December, 2008)
Robert Norman is an experienced geriatric dermatologist and has published several dermatology textbooks.
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A greater percentage of the population is now in the over-65 age group, with this trend expected to continue well into the 21st century. Consequently, geriatric dermatology is a specialty that is receiving particular attention, not only in terms of patient numbers but also the scope of treatment, with more treatment regimens becoming available to dermatologists.
Diagnosis of Aging Skin Diseases provides the clinician with an encyclopedia of geriatric dermatoses that can be used on rounds or in a reference environment. It provides a structured illustrated review of the various lesions encountered, which will make this an invaluable reference resource for all physicians dealing with older skin. It also places special emphasis on illnesses originating in other organ systems that are made manifest on the skin and often complicate the diagnostic and therapeutic picture.
The manifestations of dermatologic disease in the geriatric population are often subtly different to those in younger age groups. Using a practical and clinical approach, Dr Norman and his contributor panel of leading authorities in the field have compiled a vital reference for dermatology fellows and residents, geriatricians and related clinicians to identify dermatoses specific to the aging population.
Highly illustrated reference