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Eczema in the Elderly

Eczema in the Elderly

Eczema or dermatitis is a common skin condition characterized by redness, itching, and sometimes blistering of the skin. It can affect individuals of all age groups, including the elderly. What are the symptoms of eczema in the elderly? What triggers eczema? How is it treated? Find the answers in this article.

What is Eczema?  

Eczema (dermatitis) is a skin condition characterized by inflammation, itching, cracking, and roughening of the skin. It typically appears on the face and scalp and can cause blistering in some types. Eczema is not contagious and usually follows a two-stage course, with periods when symptoms are less noticeable and periods when symptoms worsen. Eczema can occur or worsen in old age. 

Symptoms of Eczema in the Elderly and Others

Symptoms of eczema may vary depending on the type and severity, but common symptoms include:

- Redness and inflammation of the skin
- Intense and persistent itching
- Dry, cracked, or scaly skin
- Thickened skin
- Small, fluid-filled blisters (which may burst or form crusts)
- Swelling and sensitivity of the skin

These symptoms can occur anywhere on the body, but are most commonly seen on the face, hands, elbows, knees, and feet. Additionally, due to age-related changes in skin structure and function, elderly individuals may be more prone to severe dryness, irritation, and itching.

Eczema can significantly impact the quality of life in elderly individuals, affecting daily activities, sleep, and psychological well-being. Itchiness and discomfort associated with eczema can be particularly bothersome in old age.

Furthermore, elderly individuals with eczema may have other comorbidities such as diabetes, cardiovascular disease, or immune system disorders. In such cases, a comprehensive approach addressing both skin-related symptoms and underlying health issues is needed.

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Causes of Eczema in the Elderly

Eczema (dermatitis) affects individuals of all ages, including the elderly. Eczema in the elderly occurs due to age-related factors such as a decrease in the protective barrier of the skin and loss of moisture-retaining function. Additionally, certain medications used by the elderly and certain diseases can trigger eczema as a side effect. Common areas affected by eczema in elderly individuals include the hands, legs, and skin folds.

Eczema Treatments

First and foremost, the treatment of eczema and dermatitis is personalized, and individuals should regularly visit a dermatologist for their symptoms. There is currently no cure for eczema, but there are various treatment options available to manage symptoms and prevent recurrence. These include:

Moisturizers: Maintaining skin moisture is crucial in the treatment of eczema and dermatitis. Regular moisturizing prevents dryness and itching. Particularly in winter, moisturizers with higher oil content are preferred.

In addition, for flaking on the face, you can use shampoos that suppress seborrheic dermatitis symptoms. However, the effectiveness of these shampoos may vary from person to person.

Also, if you use the shampoo against dandruff 1-2 times a week, its effect will be longer lasting.

Topical corticosteroids: These anti-inflammatory creams or ointments reduce inflammation and itching during flare-ups.

Antihistamines: Oral antihistamines can help relieve severe itching and improve sleep quality.

Prescription medications: In severe cases, the doctor may prescribe oral corticosteroids or other medications.

Avoiding triggers: Harsh chemicals, allergens, and certain foods can trigger eczema. Identifying and avoiding them can help prevent recurrence of eczema.

Nutrition: Nutrition plays an important role in the treatment of eczema and dermatitis. Some foods such as nuts, dairy products, fruits can trigger symptoms. Therefore, reducing the consumption of such foods and following a healthy diet helps alleviate symptoms.  

Eczema treatments can be challenging in elderly patients due to factors such as polypharmacy, drug interactions, and age-related changes. Therefore, the physician should develop an effective treatment plan and consider potential side effects.

Causes of Eczema in the Elderly

What Helps Eczema?

In addition to medical treatment, the points that will help keep eczema under control are as follows:

- Avoid scratching: Scratching can further irritate the skin and worsen symptoms. Instead, gently touch the itchy area for relief.

- Use mild soaps and detergents: Avoid harsh soaps, detergents, and skincare products that can dry out the skin.

- Wear soft, breathable fabrics: Choose loose clothing made of soft, natural fabrics such as cotton that do not irritate the skin.

- Follow a regular skincare routine: Cleanse, moisturize, and protect your skin once daily to keep it healthy and hydrated.

- Manage stress: Stress can trigger eczema. Therefore, practicing relaxation techniques such as deep breathing, meditation, or yoga can reduce stress and improve skin health.

Foods that Touch Eczema?

Foods that Touch Eczema?

While triggers for eczema vary from person to person, certain foods can exacerbate eczema symptoms. These include:

Dairy products (milk, cheese, yogurt, cream, etc.)
Eggs (especially egg whites)
Nuts
Foods containing wheat and gluten (baked goods, pasta, bread, etc.)
Soy products (soy sauce, tofu, soy meat, etc.)
Seafood (shrimp, mussels, crab, etc.)
Citrus fruits (orange, lemon, grapefruit, etc.)
Spices and
Certain food additives and preservatives can exacerbate eczema.

Not everyone with eczema may be sensitive to the same food triggers. Therefore, keeping a food diary to note which foods cause itching will help you identify your triggers. In addition, you should see a specialist doctor.

In conclusion, eczema can be a lifelong condition and sometimes causes serious physical and emotional distress for individuals. However, with proper treatment and care, it is possible to control eczema symptoms and improve quality of life.

At Lamer Consulting, we provide experienced caregiver support to meet the care needs of your elderly loved ones, offering compassionate and attentive service. Please contact us for more information.

See:   Home Hazards for the Elderly 

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