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J Clin Aesthet Dermatol. 2018 Jan;11(1):13-18. Epub 2018 Jan 1.

Chronic Skin Fragility of Aging: Current Concepts in the Pathogenesis, Recognition, and Management of Dermatoporosis.

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Drs. Dyer and Miller are with the Department of Dermatology at Largo Medical Center in Largo, Florida.


Thin skin and the appearance of bruises, seemingly unprovoked, are frequent complaints of elderly patients. Chronic cutaneous insufficiencies such as these are termed dermatoporosis. Although it is seldom the primary reason for consultation, dermatoporosis is associated with bleeding and healing complications and presents an opportunity for patient education and prevention. In this review, the authors explore the risk factors, pathogenetic mechanisms, clinical expression, and evidence-based therapies reported for chronic skin fragility due to aging.


CD44; Dermatoporosis; atrophic skin; chronic cutaneous insufficiency; geriatric dermatology; hyaluronic acid; senile purpura; skin fragility; skin tears


Conflict of interest statement

FUNDING:No funding was provided for this article. DISCLOSURES:The authors have no conflicts of interest to relevant to the content of this article.

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