You are on page 1of 19

Bagian Ilmu Kedokteran Kulit dan Kelamin

2018

JURNAL
SENILE PRURITUS
Pembimbing : dr. Alwi A Mappiasse, Ph.D, Sp.KK, FINS-DV
Dibawakan oleh :
1. Aris Eko Suprapto ( 10542016210 )
2. Ika Lukita Sari ( 10542017410 )
3. Nirmala ( 10542018510 )
4. Nur Amalia Idrus ( 10542019410 )
5. Muhammad Zubair ( 10542024910 )
Senile Pruritus is a common condition of unknown cause affecting the

skin It is characterized by itching and scaly skin on the body. However,

Senile Pruritus does not cause significant complications

WHAT ARE THE OTHER NAMES FOR THIS CONDITION


? (ALSO KNOW AS/SYNONYMS)

• Idiopathic Itch in Elderly


• Pruritus in the Elderly
• Willan Itch
WHAT IS SENILE PRURITUS ?
(DEFINITION / BACKGROUND INFORMATION)

 Senile Pruritus is a common condition of unknown cause affecting


the skin .

 The condition is characterized by itching and scaly skin on the


body. However, Senile pruritus does not caused significant
complications.

 Elderly adults over the age of 70 years are generally affected by


Senile pruritus. There are no risk factors identified for the
condition.
CONTINUED

 The treatment for Senile pruritus may include the use of topical
steroid creams and moisturizers, oral allergic medications, and
phototherapy.

 Individuals who respond to treatment have better prognosis


than those who do not respond. Nevertheless, the prognosis of
Senile pruritus is good with appropriate treatment.
WHO GETS SENILE PRURITUS ?
(AGE AND SEX DISTRIBUTION)

 Senile pruritus is a common skin condition that usually occurs


between the ages of 70 years or older

 It can affect both males and females and no preference is


observed

 The condition can occur worldwide ; individuals of all racial


and ethnic background may be affected
WHAT ARE THE RISK FACTORS FOR SENILE PRURITUS ?
(PREDISPOSING FACTORS)

 The risk factors for Senile pruritus are unknown or unidentified

It is important to note that having a risk factor does not mean that
one will get the condition. A risk factor increases ones chances of
getting a condition compared to an individual without the risk
factors. Some risk factors are more important than others.

Also, not having a risk factors does not mean than at individual will
not get the condition. It is always important to discuss the effect of
risk factors with your healthcare provider.
WHAT ARE THE CAUSES OF SENILE PRURITUS ?
(ETIOLOGY)

 The exact cause of Senile pruritus development is unknown

 There is no definitive proof that certain types of diet play a


role in the development of the skin condition

 Senile pruritus is not contagious and does not spread from


one individual to another. In other words, one cannot contract
the condition by interacting closely with the affected
individuals.
WHAT ARE THE SIGNS AND SYMPTOMS OF SENILE
PRURITUS ?

Generally, the timing of development of the signs and


symptoms are important in making an accurate diagnosis. In
the case of senile pruritus, the signs and symptomps develop
steadily over weeks to months.

The signs and symptoms of Senile pruritus include :


 Itching
 Scaly skin
 It can affect the skin of any part of the body

It is difficult to predict who gets mild or severe symptoms.


HOW IS SENILE PRURITUS DIAGNOSED ?

The following are the diagnostic methods that may be used for
Senile pruritus :

 A thorough physical examination and complete medical history


are very crucial. A diagnosis of Senile pruritus is arrived at
clinically, by analyzing the signs and symptoms

 Dermoscopy : Dermoscopy is a diagnostic tool where a


dermatologist examines the skin using a special magnified
lens

 A skin biopsy is not usually needed

Many clinical conditions may have similar signs and symptoms.


Your healthcare provider may perform additional tests to rule
out other clinical conditions to arrive at a definitive diagnosis.
WHAT ARE THE POSSIBLE COMPLICATIONS OF SENILE
PRURITUS ?

No significant complications due to Senile pruritus have been


reported. However, in some case, the complications that may be
observed include :

 Chronic itching and scaling of the skin that causes the skin to
become thick, discolored, and leathery

 Bacterial and fungal infections : Senile pruritus may cause


continuos itching and scaling of the skin, which creates skin
moistness, providing a suitable environment for bacteria and
fungi to grow and thrive
CONTINUED

 The presence of skin infections and scarred skin, due to


chronically-occuring nodules that ooze pus and form
abscesses, can cause self-image issues, emotional and
psychological trauma. If the emotional stress is severe, it may
even lead to depression

 Development of depression may further lead to social isolation


HOW IS SENILE PRURITUS TERATED ?

Treatment strategies that may be adopted in the management


of Senile pruritus include :

 For mild skin conditions, self-care measures are


recommended, such as washing with mild (antibacterial) soap
and spplying warm compress

 Application of anti-itch, over-the-counter creams that contain


hydrocortisone can provide relief from pain and itching
sensation
CONTINUED
 Oral medications : The physician may prescribe oral
corticosteroids to reduce inflammation, or antihistamines to
provide relief from severe itching sensation

 Ultraviolet light therapy

 Follow-up care with regular screening and checkups are important

Note : If any of the prescribed treatment medication or methods


cause new stinging or burning symptoms, then it is important to
discontinue the medication or method and immediately inform the
healthcare provider.
CONTINUED

A few self-care tips and home remedies for Senile pruritus may
include :

 Completely avoid scratching the affected areas

 A comfortable, cool bath may help soothe the skin; but, avoid
excessive washing and scrubbing of the skin

 Wear smooth cotton clothes


CONTINUED

Use only mild perfumes, soaps, and detergents

 Keeping the skin moist can help in reducing the signs and
symptoms caused by Senile pruritus

Taking care of oneself, being clean and hygienic (especially face


and hands), avoiding the urge to touch/break the blisters,
avoiding oily make-ups and creams, drinking lots of water,
etc.are all simple practices that can ensure a faster recovery
from the condition.
HOW CAN SENILE PRURITUS BE PREVENTED ?

 Currently, there are no specific methods or guidelines to prevent


Senile pruritus

 Keeping the skin moist can help prevent the condition


WHAT IS THE PROGNOSIS OF SENILE PRURITUS ?
(OUTCOMES/RESOLUTION)

The prognosis of Senile pruritus is very good with appropriate


treatment.
 However, it also depends on the severuty of the sugns and
symptoms. Individuals with milder signs and symptoms have a
better prognosis than those with severe signs and symptoms

 Very severe cases may causes permanent facial marks, deep pits,
pigmented scars, etc., if proper treatment is not administered.
This may cause cosmetic issues

 Regular follow up visits with the healthcare providers are


important
ADDITIONAL AND RELEVANT USEFUL INFORMATION
FOR SENILE PRURITUS

 There is no evidence to prove that oily foods and chocolate-


based products have an influence on Senile pruritus

 Cleaning the skin too hard with strong chemicals or soap may
aggravate the skin condition. Care must be taken avoid strong
soaps and chemical that could potentially worsen the condition

 The presence of dirt on the body is not a causative factor for


Senile pruritus. However, it helps to be clean and hygienic,
which will help the condition from getting worse