Transcription of Skin Disorders in Elderly Persons: Identifying …
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December 2007 infections inMEDICINE 509 Age-related changes height-en the risk of cutaneous in-fections in Elderly skin of persons older than 65years is more fragile than that ofyoung or middle-aged persons ; itis drier and thinner and possessesfewer hair follicles and sweatglands. As a result, it is more sus-ceptible to microinjuries, whichcan give pathogens includingnormal skin flora such asCandida the opportunity to pen-etrate and spread, at least superfi-cially. In addition, because elderlypatients have weakened immunesystems, indolent infections , such as onychomycosis, aremore common among persons in this age group than inyounger the following pages, I provide a pictorial guide tothe various presentations of fungal infections in elderlypatients, including candidiasis, onychomycosis, and sev-eral types of candidiasisThis infection is usually caused by Candida albicans,whichis often present in body folds.
512 INFECTIONS in MEDICINE December 2007 There are 4 types of onychomycosis. They are distal subungual onychomycosis, proximal subungual ony-chomycosis, white superficial onychomycosis, and can-
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