What Are the Common Adult Skin Problems?

Common adult skin problems

Check out this answer from Consensus:

Adult skin problems are diverse and can range from common conditions like dry skin and acne to more complex issues such as atopic eczema and peristomal skin complications. Effective management requires a comprehensive approach that includes patient education, appropriate use of topical treatments, and a multidisciplinary strategy to address the underlying causes and improve the quality of life for affected individuals.

Skin problems are prevalent among adults and can significantly impact their quality of life. This article explores some of the most common skin issues faced by adults, their causes, and potential treatments.

Dry Skin (Xerosis)

Dry skin, or xerosis, is particularly common in older adults. It is not a normal part of aging but is influenced by several factors including intrinsic changes in skin keratinization and lipid content, use of certain medications like diuretics, and environmental factors such as overuse of heaters or air conditioners. Xerosis can lead to pruritus (itchiness), which may cause excoriations and increase the risk of skin infections. Management includes increasing ambient humidity, modifying bathing techniques, and using emollients to replace skin lipids while avoiding potential skin sensitizers like lanolin and parabens1 5.

Acne

Acne is often associated with teenagers, but it remains a common issue for adults. Studies show that a significant number of adults continue to experience acne or develop new-onset acne after their teenage years. Women are more likely to report having acne than men across all age groups. The prevalence of acne decreases with age but remains a notable concern for many adults3.

Atopic Eczema (Atopic Dermatitis)

Atopic eczema is a chronic inflammatory skin disease affecting 1-5% of the adult population in Europe. It significantly impairs the quality of life due to its persistent and often severe symptoms. Despite advancements in understanding its pathophysiology, atopic eczema remains a challenging condition in clinical practice. Effective management requires a comprehensive approach to address both the disturbed skin barrier and immune deviation4.

Peristomal Skin Complications

Peristomal skin complications (PSCs) are common among patients with ileostomy or colostomy. These complications include erythema, papules, skin erosions, ulcers, and vesicles, which can significantly impact the patient’s quality of life and increase healthcare costs. Proper management and a multidisciplinary approach are essential to improve outcomes for these patients6.

Incontinence-Associated Dermatitis (IAD)

Incontinence-associated dermatitis is prevalent among adults who are incontinent for urine, stool, or both. The condition is exacerbated by the use of soap and water, which perform poorly in preventing and treating IAD. Instead, the application of leave-on products such as moisturizers and skin protectants is more effective. High-quality trials are needed to standardize prevention and treatment regimens9.

Routine Dermatological Consultations

Dermatological conditions frequently present in general practice, but treatment failure is common due to low adherence to treatments. Shared decision-making and self-management advice are often lacking in consultations, leading to frequent re-consultations for the same issues. Improving patient education and involvement in treatment decisions could enhance outcomes7.