Prevención y tratamiento de la dermatoporosis. Revisión bibliográfica

Resumo

Purpose : To review published information on dermato- porosis, with emphasis on its identification, prevention and treatment. Methodology: Literature review covering the decade 2010 - 2019. Use of different bibliographic resources (PubMed, Cochrane Library Plus, Cuiden, IBECS and Dialnet). Combination o f De C S , MeSH and free text descriptors with Boolean operators OR and AND. Selec- tion of articles according to inclusion criteria and their relation to the study objective. In - depth reading of the selected articles and narrative presentation of the results. Results: Of 47 articles retrieved, 14 were finally reviewed. The prevalen ce of dermatoporosis is variable among European countries, according to previous research the rate is between 21 and 38%. There i s discordance in where the prevalence is mostly located (lower versus upper limbs). The most frequent clinical signs were senile purpura and pseudoscarring. The main recommendation is based on reducing exposure to extrinsic factors such as ultraviolet radiation, pollution, smoking and drugs such as topical and systemic cortico- steroids. In addition, sufficient intake of protein, vitamin C and adequate fluid intake should be ensured. To treat it, skin hydration and topical administration of retinoids, hyaluronic acid, vitamins C and E, and emolients are proposed. Conclusions : There is a need for a specific protocol to treat each phase of dermatoporosis, as well as follow - up by the dermatology unit or specialized wound healing consultations. It was also observed that there is a great lack of knowledge among health professionals about the disease (between 35.1% and 96.5%), being a possible barrier to primary prevention and early detection, hence the need for more training in this regard