期刊
CLINICS IN DERMATOLOGY
卷 37, 期 4, 页码 326-335出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.clindermatol.2019.04.005
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资金
- Grant Agency of the Czech Republic [16-05534 S]
- Ministry of Health of the Czech Republic [15-28933 A, 16-29032 A]
- Charles University [PROGRESS Q 28]
- Ministry of Education, Youth and Sports of Czech Republic within the National Sustainability Program II (Project BIOCEV-FAR) [LQ1604]
- project BIOCEV [CZ.1.05/1.1.00/02.0109]
- Operational Programme Research, Development and Education [CZ.02.1.01/0.0/0.0/16_019/0000785]
- League Against Cancer, Prague
The world population of adults aged 60 years or more is increasing globally, and this development can impact skin disease morbidity and mortality, as well as being reflected in the health care system organization. There is substantial evidence that the burden from a remarkable number of skin nonmalignant and malignant conditions is greater in the elderly. Dermatologic research and clinical education in dermatology should focus on both challenges and opportunities created by aging. Skin aging due to intrinsic and extrinsic factors can alter significantly epidermal and dermal structure and functions. Dermal aging can be linked to a great number of complications in routine dermatologic conditions, with slow healing as an example of a severe complication in the elderly. This may be attributed to aged dermal fibroblasts modifying the tissue microenvironment via a shift in their soluble factors and extracellular matrix repertoire. This senescence associated secretory phenotype can explain the particular proclivity of aged skin to develop malignancies. (C) 2019 Published by Elsevier Inc.
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