Atrophy senile of the skin L90.8

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Age skin; Extrinsic skin atrophy; Intrinsic skin atrophy; Senile atrophy of the skin; Senile atrophy of the Skin; senile skin; Senile skin atrophy; skin atrophy senile

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Atrophy of the skin in older people due to endogenous (intrinsic) and external (extrinsic) influences.

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Basically the aging process of the skin can be divided into:

  • intrinsic aging, the natural, physiological aging process that begins after the 4th year of life as simple atrophy of all skin layers and is mainly influenced by genetic factors.
  • extrinsic aging (UV damage to the skin/photoaging, smoking, alcohol, stress, other environmental noxae)

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The extrinsic aging process will be observed exclusively on the skin areas that are preferably exposed to sunlight (face; neck, nape of neck, décolleté, forearms, back of hands, lower legs).

Clinical features
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Yellowish or grayish-yellowish, but also pied hyperpigmented by chronic actinic influences, flabby, usually dry, withered, parchment-like skin, often interspersed with telangiectasia (especially in the face and thorax) and with distinct protrusion of the larger venous and arterial vessels lying under the skin (as in an anatomical preparation), with increased wrinkle and furrow formation. Subdivision of the skin into coarse rhombic fields. Often leukomelanodermic pigment shifts, reduced sebum and sweat gland activity with marked exsiccosis of the skin. Hair and nails change structurally as well as in their growth. The subcutaneous fatty tissue changes structurally, resulting in irregularities in the surface of the skin/fat tissue compartment.

The following changes are observed in the senile involution of skin, skin appendages and subcutis:

Differential diagnosis
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External therapy
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Chemical peeling: For fine lines, e.g. peeling with alpha-hydroxy acids (glycolic acid), for deeper wrinkles, especially perioral and periorbital, e.g. peeling with trichloroacetic acid.


Please ask your physician for a reliable diagnosis. This website is only meant as a reference.


Last updated on: 29.10.2020