Dermatoporosis: a further step to recognition

Prevalence of and risk factors for dermatoporosis: a prospective observational study of dermatology outpatients in a Finnish tertiary care hospital

“…We used the classification that was initially suggested by Kaya and Saurat . However, due to difference in severity levels within the same stages, this classification was more recently modified . Therefore, the patient we classified here with stage IV would be considered as stage III according to the new classification .…”

“…4,14 Therefore, the patient we classified here with stage IV would be considered as stage III according to the new classification. 4,14 After the study inclusion period was stopped, we happened to see an elderly woman with extensive severe DP, skin tears and haematomas with necrosis of the legs (stage IV) misdiagnosed for pyoderma gangrenosum. This case was reminiscent of the cases of deep dissecting haematomas that occur mainly in advanced stages of DP reported by Kaya et al 15 in 2008.…”

“…It is responsible for known symptoms such as senile purpura, skin tears, stellar pseudoscars and extreme skin atrophy . It is related to ageing, chronic and unprotected exposure to the sun (primary DP) and long‐term use of topical and systemic corticosteroids (secondary DP) . An association with chronic renal failure (CRF) has been highlighted recently .…”

“…3 It is related to ageing, chronic and unprotected exposure to the sun (primary DP) and long-term use of topical and systemic corticosteroids (secondary DP). 4 An association with chronic renal failure (CRF) has been highlighted recently. 5 The role of local and systemic C vitamin deficiency has also been stressed as a possible cofactor.…”

Successful treatment of an extensive abrasion ulcer in chronic atrophic skin with a porcine xenograft after failure of multiple treatment modalities

“…Widespread skin abrasions are feared complications of chronic skin fragility (dermatoporosis) especially if aggravated by long‐term treatment with systemic corticosteroids. The near impossibility to perform autologous split‐thickness skin grafting in severe dermatoporosis makes the treatment of large skin defects especially daunting . Porcine xenografts are widely used in burn patients and recently have also been proposed as good skin alternatives to augment secondary intention healing in surgical wounds .…”