Have you noticed that your skin feels drier, itchier, or more sensitive than it used to? Our skin naturally changes as we age, and conditions like dermatitis become more common.

Dermatitis is a broad term for skin inflammation, which can cause itching, redness, dry patches, and discomfort. While it can be frustrating to deal with, there are many simple ways to manage this condition and keep your skin feeling healthy.

Dermatitis in Older Adults

As we age, our skin becomes thinner, drier, and produces fewer natural oils that help protect and moisturize it. That’s why older adults are more prone to irritation and inflammation, which can be triggered by factors such as:

  • Cold, dry weather
  • Frequent bathing, especially with hot water
  • Products that irritate sensitive skin
  • Some medications that contribute to dry skin
  • Certain health conditions, such as diabetes or poor circulation

Types of Dermatitis

While all forms of dermatitis involve inflammation of the skin, each type has its distinct causes and symptoms. Understanding the different types can help you recognize any changes in your skin and know when it’s time to seek treatment.

Atopic Dermatitis (Eczema)
Atopic dermatitis – or eczema – often appears as dry, itchy patches of skin. These areas may become red, scaly, or thickened over time, especially with frequent scratching (which is not recommended!).

Contact Dermatitis
Contact dermatitis occurs when the skin has a reaction to something it has touched. Triggers can include soaps, lotions, fragrances, cleaning products, cosmetics, and even metals, like some of those commonly used in jewelry.

Seborrheic Dermatitis
Seborrheic dermatitis causes flaky, greasy patches of skin, usually on the scalp, face, or around the ears. The condition can resemble dandruff and may flare up periodically before improving again.

Asteatotic Dermatitis
Also known as "winter itch," asteatotic dermatitis is especially common during cold, dry weather. The skin can become extremely dry, rough, cracked, and intensely itchy, particularly on the arms and legs.

Stasis Dermatitis
Stasis dermatitis develops when poor circulation causes fluid to build up in the lower legs. This can lead to swelling, discoloration, itching, and skin irritation that may worsen if left untreated.

How to Diagnose Dermatitis

Recognizing the symptoms of dermatitis is an important first step toward getting the right treatment and feeling like your healthiest self again. Common signs might include:

  • Dry or rough skin
  • Itching
  • Red or inflamed areas
  • Flaking or scaling
  • Cracked skin
  • Burning or irritation

If you notice any persistent or worsening skin problems, be sure to have them assessed by a health care professional. They can diagnose dermatitis by examining your skin, reviewing your symptoms, and discussing any possible triggers. In some cases, additional testing, such as allergy patch testing, may be used to help identify the cause and determine a treatment plan.

Caring for Your Skin

When skin becomes especially itchy from dermatitis, scratching may provide temporary relief, but it can also damage the skin's protective barrier and make irritation worse. In some cases, repeated scratching can cause the skin to thicken, crack, or become more vulnerable to infection. Thankfully, early treatment and a proper skin care routine can help manage symptoms and prevent future flare-ups.

Stay Moisturized
Moisturizing is one of the most important steps in managing dermatitis, and healthy skin in general. Apply a fragrance-free cream or lotion at least once daily, especially after bathing, to help lock in moisture.

Bathe Wisely
Hot showers and baths tend to dry out the skin. Instead, use cool to warm water and keep bathing time short. Choose mild, fragrance-free soap or body wash, and gently pat your skin dry afterward.

Avoid Common Triggers
If certain products seem to make your skin worse, avoid them at all costs. Pay attention to any fragrances, harsh soaps, cleaning products, or materials that could be the culprit to your skin problems.

Keep Skin Comfortable
Wearing soft, natural fabrics like cotton can help reduce irritation. During the winter, using a humidifier can add moisture to the air and help prevent skin from becoming overly dry.

Resist the Urge to Scratch
This can be easier said than done, but scratching can damage the skin and increase the risk of infection. Instead, try placing a cool, damp cloth on itchy areas to provide temporary relief.

How Your Pharmacist Can Help Manage Symptoms

Many people don't realize that pharmacists can play an important role in managing skin conditions like dermatitis, but there’s a lot they can do to help improve your symptoms. For example, they can:

  • Identify medications that may contribute to dry skin
  • Choose moisturizers and skin care products that are gentle on sensitive skin
  • Recommend treatments to relieve itching and irritation
  • Explain how to use prescription creams and ointments correctly
  • Suggest ways to avoid common triggers
  • Determine when it's time to see a doctor or dermatologist

If you’re dealing with ongoing itchiness, dryness, or a rash that won't go away, don't hesitate to speak with your pharmacist. A quick conversation can help you find the right treatment, avoid unnecessary discomfort, and keep your skin feeling and looking its best.

Sources:

https://myhealth.alberta.ca/health/AfterCareInformation/pages/conditions.aspx?hwid=uh2779

https://www.aaaai.org/tools-for-the-public/conditions-library/allergies/eczema-older-adult