Skin atrophy

Skin atrophy - changing of the skin caused by the decrease in the number and volume of all its parts, especially elastic fabric. Occurs more often in women. Atrophy of the skin may occur when the skin stretching (pregnancy, obesity), after severe infections, endocrine disorders and diseases of the Central nervous system. The affected skin becomes thin, easily folds of fat that take longer to finish, becomes dry, becomes reddish or mother-of-pearl-white, through it shines venous network. There are skin atrophy limited (for example, atrophic strip of leather) and diffuse (senile atrophy of the skin), primary (e.g. hemiatrophia persons) and secondary developed after previous diseases (leprosy, tuberculosis and lupus red and other)- atrophy of the skin is an irreversible condition. The treatment is ineffective. Prevention (secondary skin atrophy)- treatment of the underlying disease.

Skin atrophy (atrophia cutis; synonymous with atrophoderma) - thinning all or some of the layers of the skin with a quantitative and qualitative change of its components.
There are congenital skin atrophy (aplasia, atrophic birthmarks, progressive hemiatrophia skin); primary, develops for no apparent reason, more often in women; involutive (presenilny, senilny, diamond-shaped skin atrophy back of the neck, elastosis senilis, wrinkles) and secondary (scar from pressure from the sun and x-rays, radioactive substances, when the pigment xeroderma, porphyrin disease, the bubble bullosa, poykilodermii, hydroa vacciniformis, red flat versicolor, trofimowa tinea, and so on). Atrophy of the skin may develop after some sifiliguu, leprosy, red and tuberculosis erythematosus, cutaneous leishmaniasis, scab, some diseases of the Central nervous system.
Histologically first signs of acute or chronic inflammation, then the epidermis becomes thinner, his megasocco processes and derma papillae are anti-aliased, elastic fibers razreshayutsya, thin, twisted, elastin becomes Latin, collagen fibres are placed in parallel with the surface of the skin, appendages of skin atrophy, sometimes completely. Often skin atrophy combined with dermatosclerosis - the increase of the volume and number of elements of the skin. Little is known about the pathogenesis.
Atrophic skin is thin, soft, dry, devoid of hair, easy going in a thin, long does not deal folds, cyanotic-red or pearly-white color; the blood vessels good Shine. The skin surface is covered with fine wrinkles, reminiscent of crumpled and straightened tissue paper (symptom Pospelova); palpation is the feeling of wet suede. When combined atrophy and dermatosclerosis the skin is thick, fused with a subject fabrics, bad moves, it is difficult going into the fold.
To essential atrophy of the skin are atrophic strip of skin striae atrophici, s. distensae), observed more frequently in young women after stretching (pregnancy, edema, obesity), a disease Itsenko - Kushinga, after long-term treatment of corticosteroid drugs, severe infections. Their appearance contribute trophic and endocrine disorders (pituitary-diencephalic), diseases, etc. On the skin of the abdomen, lower back, Breasts, buttocks, thighs multiple parallel clearly distinguished strip several centimeters in length and width of several mm, painless, soft, slightly sunken, first, crimson red, then mother-of-pearl-white. Autodermice in different variants, atrophodermia vermicularis, acrodermatitis chronica atrofidagi, giperrealisticheskie skin syndrome, Ehlers - Danlos syndrome, pseudoplane also represent a form of limited or widespread skin atrophy. Different damage atrophic skin heal very slowly.
Diagnosis of atrophy of the skin is not difficult. Atrophic areas remain stationary, treatment is inefficient. Oseltamivir important early and rational treatment of the underlying disease causing skin atrophy.