Erschienen in:
01.03.2005 | Therapy In Practice
Chronic Actinic Dermatitis in the Elderly
Recognition and Treatment
verfasst von:
Dr Robert S. Dawe
Erschienen in:
Drugs & Aging
|
Ausgabe 3/2005
Einloggen, um Zugang zu erhalten
Abstract
Chronic actinic dermatitis is a condition involving abnormal cutaneous photosensitivity to UV and, often, visible wavelengths. It is rare, but more common in the elderly than in younger populations, with an estimated prevalence of one in 2000 in the ≥75-year-old population in Tayside, Dundee, Scotland. It usually presents as a dermatitis that maximally, but not exclusively, affects photo-exposed skin. Investigation to confirm the diagnosis and guide management includes phototesting and patch testing. The mainstay of treatment is education about the condition and advice on sunlight and allergen avoidance. Topical corticosteroids and emollients are always required, at least intermittently, and it is sometimes necessary to resort to systemic immunosuppression, usually with corticosteroids or azathioprine.