Eczema of wound surroundings : Genesis, diagnostics and treatment].

Alpaslan Tasdogan, Maurice Moelleken, Joachim Dissemond

Zeitschrift fur Gerontologie und Geriatrie 2023 Oct

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Skin changes in the surrounding areas of wounds are a frequently occurring multidisciplinary challenge in the care of patients with wounds, especially in older people. These are often inflammatory skin diseases like eczema that can be caused by various factors. These include allergens, noxa, incorrect skin care or prolonged contact with moisture. In the diagnostics, detailed medical history, clinical examination and allergological tests play important roles. Eczema can mostly be treated symptomatically with topical glucocorticoids. Calcineurin inhibitors are an alternative treatment, especially for longer term topical applications. In cases of impetiginized lesions, appropriate antimicrobial therapy should also be carried out. For long-term and preventive treatment the adequate use of skin care and skin protection products that help to strengthen or restore the skin barrier is decisive as well as the education of the patients and, if necessary, their relatives. © 2023. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.

Citation

Alpaslan Tasdogan, Maurice Moelleken, Joachim Dissemond. Eczema of wound surroundings : Genesis, diagnostics and treatment]. Zeitschrift fur Gerontologie und Geriatrie. 2023 Oct;56(6):505-515