DOI: https://doi.org/10.36347/sasjm.2025.v11i07.008

Pages: 693-695

Skin conditions in older adults present unique clinical challenges due to the combined effects of aging, chronic illnesses, medication use, and environmental factors. As the elderly population continues to grow, dermatologic diseases—ranging from benign lesions and persistent itching to infections, autoimmune disorders, and skin cancers—are becoming more common in daily practice. These disorders frequently have atypical presentations, and age-related skin changes such as thinning of the epidermis, reduced immune response, and delayed healing can obscure classic signs, making diagnosis more difficult. In many cases, skin findings may be the first clue to an underlying systemic disease, highlighting the importance of a detailed clinical evaluation. This article reviews common cutaneous conditions seen in the elderly, emphasizing how to distinguish between normal aging and true pathology, the role of medications in skin reactions, and the diagnostic value of skin signs in systemic illness. A careful history, complete skin examination, and use of biopsy when necessary are essential for accurate diagnosis. Enhancing clinical awareness of dermatologic issues in the elderly can lead to earlier detection, more appropriate treatment, and improved overall care in this vulnerable population.