Noah S. Scheinfeld, MD, JD


Skin Disorders in Older Adults: Papulosquamous and Bullous Diseases, Part 1

March 11, 2011

Certain papulosquamous and bullous diseases are more common in older adults than in younger persons. For example, bullous pemphigoid typically affects those in the fifth through seventh decades of life. Grover disease, or transient acantholytic dyskeratosis, is most common in white men older than 65.

Skin Disorders in Older Adults: Eczematous and Xerotic Inflammatory Conditions, Part 2

September 08, 2010

Inside: a photo guide to the various manifestations of stasis dermatitis, irritant contact dermatitis, and allergic contact dermatitis-including diagnostic clues and treatment options.

Skin Disorders in Older Adults: Dermatoses Related to Scratching, Rubbing, and Impaired Epidermal Integrity, Part 1

February 16, 2010

Physical changes that occur in aging skin (eg, dryness and thinning) can result in pruritus and cause patients to rub, scratch, and pick at their skin. These activities produce various dermatoses and reactive changes in the skin, such as postinflammatory pigmentary alteration. Lichen simplex chronicus (LSC) develops as a physiological cutaneous response to repetitive scratching or rubbing. First-line treatment consists of topical corticosteroids and application of ice to reduce the sensation of itching. Like LSC, prurigo nodularis results from rubbing and scratching the skin. Treatment is similar; however, intralesional corticosteroids and UV therapy play more of a role because prurigo nodularis is more intensely pruritic than LSC.

Hiker With Pruritic Papules

December 01, 2007

A 37-year-old man presents with moderately pruritic urticarial papules on areas of his skin that are not covered by his shorts and T-shirt. He recently returned from a trip to Upstate New York, where he had stayed in several rustic cabins that were used by different people daily.

Skin Disorders in Elderly Persons: Part 6, Scabies

September 01, 2007

A number of factors heighten the risk of parasitic infections in elderly persons, who often live in communal settings (eg, nursing homes), where they are more likely to encounter parasites, such as the scabies mite.

Skin Disorders in Elderly Persons: Fungal Infections

June 01, 2007

Tinea corporis appears as an annular plaque with a rim of scaly erythema.

Skin Disorders in Elderly Persons: Part 5, Fungal Infections

June 01, 2007

Tinea that occurs on the hands is referred to as tinea manuum.

Candidiasis, Onychomycosis, and Tinea

June 01, 2007

Maceration or scale between isolated web spaces of the fingers suggests erosio interdigitalis blastomycetica (interdigital candidiasis). It most often occurs in the web space between the middle and ring fingers; sometimes the toes are affected. Erosio can spread and can be painful.

Picture Gallery of Fungal Infections in Elderly

June 01, 2007

A fungal folliculitis (Majocchi granulomas) can occur if a superficial fungal infection is treated with topical corticosteroids. Fungal folliculitis is best treated with a short course of oral itraconazole or fluconazole.


June 01, 2007

Candidal infection can also occur at the lateral angles of the mouth; it causes erosions and breakdown of the skin. Angular cheilitis, or perleche, resembles the relationship between intertriginous candidiasis and intertrigo in that it is part infection and part inflammatory response to the impairment of epidermal integrity.