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Geriatric Dermatology

»	How common are skin disorders in the elderly population?
»	What is intrinsic aging of the skin?
»	What is extrinsic aging of the skin?
»	How does intrinsically aging human skin vary from young skin under the microscope?
»	Why does skin wrinkle as we age?
»	Does smoking cigarettes accelerate skin aging?
»	What is solar elastosis?
»	What is nodular elastosis with cysts and comedones?
»	How do liver spots, solar lentigo, and lentigo senilis differ?
»	Why do elderly patients frequently develop bleeding into the skin on the dorsum of their hands and arms?
»	Advertisements in newspapers and magazines frequently tout products that “rejuvenate” the skin or make the skin younger. Is there truth to these claims?
»	What is the difference between superficial, medium, and deep chemical peels?
»	Are some sunscreens better than others in preventing wrinkles due to photodamage?
»	Which are the most common inflammatory skin diseases in the elderly?
»	Why are elderly patients prone to develop xerosis?
»	What is the best way to treat xerosis?
»	How common is chronic venous insufficiency in the geriatric population?
»	Explain the pathogenesis of chronic venous insufficiency.
»	How should you manage chronic venous insufficiency?
»	What is rosacea? How does it present?
»	Is rhinophyma related to alcohol abuse?
»	Name the most common types of skin tumors seen in the elderly.
»	What are seborrheic keratoses?
»	What are stucco keratoses?
»	What is sebaceous hyperplasia?
»	A 70-year-old man presents to your clinic with the sudden onset of hundreds of seborrheic keratoses. Is there any reason for concern?
»	Describe the methods for treating seborrheic keratoses.
»	An elderly man presents with a soft blue papule on the helix of his cheek and is concerned about malignant melanoma. What is the most likely diagnosis?
»	Is there a future in geriatric dermatology?

Are some sunscreens better than others in preventing wrinkles due to photodamage?

Probably. The definitive study has not been done, but most of the UV-induced deep wrinkles are believed to be attributable to both UVA and UVB. Based on this, sunscreens with both UVB and UVA protection should be the most efficient in preventing wrinkling.