Prospective aetiological study of diaper dermatitis in the elderly.
Br J Dermatol
; 155(5): 941-6, 2006 Nov.
Article
em En
| MEDLINE
| ID: mdl-17034522
ABSTRACT
BACKGROUND:
The different causes of diaper dermatitis (DD) in the elderly are not well known and the treatment is often empirical.OBJECTIVES:
To determine the causes of DD in the elderly and to evaluate the efficacy of antifungal treatments in this indication.METHODS:
Consecutive patients presenting with DD were included. Clinical evaluation, skin swabs for bacterial and mycological cultures, patch testing and skin biopsy were performed at inclusion. This was followed by 1 month of topical antifungal cream and, if needed, by oral fluconazole for the second month.RESULTS:
Forty-six patients were included (mean age 85 years). Causes of DD were established for 38 patients 24 had candidiasis (63%), six irritant dermatitis (16%), four eczema (11%) and four psoriasis (11%). After 2 months of treatment, 27 of 37 (73%) patients were cured and five of 37 were improved.CONCLUSIONS:
Mycoses and irritant dermatitis are the main causes of DD in the elderly, and emollient skin care and topical antifungal treatment can be considered a first-line therapy for this indication.
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Base de dados:
MEDLINE
Assunto principal:
Dermatite das Fraldas
Idioma:
En
Ano de publicação:
2006
Tipo de documento:
Article