Evaluation and management of pruritus and scabies in the elderly population.

@article{Panuganti2013EvaluationAM,
  title={Evaluation and management of pruritus and scabies in the elderly population.},
  author={Bharat A. Panuganti and M. Tarbox},
  journal={Clinics in geriatric medicine},
  year={2013},
  volume={29 2},
  pages={
          479-99
        }
}
Pruritus is the most common dermatologic complaint in individuals older than 65 years. The elderly comprise a demographic that seeks medical attention for itch with greater frequency than other age groups. Managing pruritus in elderly patients represents a unique therapeutic challenge attributable to a range of circumstances that are of particular importance in this population. Topical steroid therapy must be administered carefully, and other forms of treatment, including phototherapy, may be… Expand
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References

SHOWING 1-10 OF 103 REFERENCES
The management of chronic pruritus in the elderly.
TLDR
Management of pruritus in the elderly must take an individualistically tailored approach with consideration of the patient's general health, the severity of symptoms, and the adverse effects of treatment. Expand
Pruritus in the elderly: clinical approaches to the improvement of quality of life.
TLDR
The prevalence of pruritus increases with age and can be partially attributed to a decline in the normal physiological status of the skin (Table 1), and the decline of skin function in the Geriatric Population is shown. Expand
Therapy of pruritus
TLDR
The therapy of pruritus is challenging and at present takes on an individualistic approach and recent advancements in the mechanisms that underlie this distressing symptom have identified new targets for future therapy. Expand
Xerosis and pruritus in the elderly: recognition and management.
TLDR
Two of the most common dermatologic problems found in nursing home residents are xerosis and pruitus, and the importance of comprehensive treatment for these conditions as a preventative against stasis dermatitis and ulcer formation is stressed. Expand
Pruritus in elderly patients--eruptions of senescence.
TLDR
The pathogenesis of the most common forms of pruritic skin disease in elderly patients and the hallmarks that allow the dermatologist to establish an accurate diagnosis are outlined and a management strategy is suggested for each common type ofPruriticSkin disease in the elderly patient. Expand
Gaining a comprehensive understanding of pruritus.
TLDR
Clinically, the first challenge of dermatologists is how to get general and interdisciplinary vision of pruritus and to preliminarily figure out whether there might be underlying systemic or psychosocial disorders. Expand
Pruritus: an updated look at an old problem.
TLDR
The authors examine the pathophysiology of itch according to the most common mediators uncovered by researchers and discusses the encompassing etiologies, which include dermatological, psychological, and systemic causes. Expand
Chronic pruritus: a paraneoplastic sign
TLDR
Combinative therapies reducing itch sensitization and transmission using selective serotonin and neuroepinephrine reuptake inhibitors, Kappa opioids, and neuroleptics are of prime importance in reducing this bothering symptom. Expand
Willan's itch and other causes of pruritus in the elderly
TLDR
The diagnosis of Willan's itch should be reserved for generalized pruritus in the absence of xerosis or other recognizable cause, and it is suggested that gabapentin, cutaneous field stimulation, serotonin antagonists, and ultraviolet B phototherapy may attenuate itch in some of these patients. Expand
Chronic Pruritus in the Absence of Specific Skin Disease
TLDR
Treatment for pruritus with no or minimal skin changes can be secondary to important diseases, such as neurologic disorders, chronic renal failure, cholestasis, systemic infections, malignancies, and endocrine disorders, and may also result from exposure to some drugs. Expand
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