Psoriasis in the elderly

Author:

Dawn Aerlyn G1,Edwards Dawn Marianne2,Yosipovitch Gil1

Affiliation:

1. Wake Forest University, School of Medicine, Department of Dermatology, Medical Center Boulevard, Winston-Salem, NC 27157, USA.

2. University of Maryland, School of Medicine, Department of Dermatology, MD, USA

Abstract

Psoriasis is one of the most common chronic skin diseases, and unprecedented increases in the elderly population will make diagnosis and management of geriatric psoriasis increasingly important. Management of psoriasis in the elderly requires consideration of several important factors. Many commonly prescribed drugs can precipitate psoriasis or aggravate pre-existing psoriasis. In addition, elderly patients are at increased risk of adverse drug reactions due to polypharmacy, adverse drug–drug interactions, adverse drug–disease interactions, incorrect use of medication and concomitant comorbidities. Psoriasis is a highly variable disease that requires individualized treatment. The major classes of topical medications include topical corticosteroids, coal tar preparations, calcipotriol, tazarotene and salicylic acid. Phototherapy, including narrowband ultraviolet B, photochemotherapy, psoralen ultraviolet A and excimer laser treatment, can be effective in properly selected patients. Systemic therapy for psoriasis in the elderly should be reserved for severe, extensive cases that have failed to respond to topical treatment, and may include methotrexate, systemic retinoids and immunotherapy.

Publisher

Future Medicine Ltd

Subject

Geriatrics and Gerontology,General Medicine

Cited by 5 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Skin Aging, Cellular Senescence and Natural Polyphenols;International Journal of Molecular Sciences;2021-11-23

2. Psoriasis in the geriatric population: A retrospective study in Asians;The Journal of Dermatology;2021-01-17

3. Psoriasis and Aging;Textbook of Aging Skin;2016-09-29

4. Psoriasis and Aging;Textbook of Aging Skin;2015

5. Psoriasis in the elderly: From the Medical Board of the National Psoriasis Foundation;Journal of the American Academy of Dermatology;2011-09

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