Treatment: If a pancreatic or liver tumor is identified and able to be surgically excised, the skin lesions may normalize for an extended period of time, but because these tumors metastasize (spread to other areas of the body) quickly, surgery is not curative. In cases of end stage liver disease, surgery is not possible, and the goal of therapy is to increase quality of life and decrease uncomfortable skin lesions with supportive care and addressing the nutritional abnormalities. Supportive care includes supplementing protein and necessary minerals and enzymes through the diet and oral supplements or by weekly intravenous amino acid infusions that are performed in the hospital on an outpatient basis until improvement in the skin is noted. Unfortunately, despite the supportive care, the disease will progress.
Wonderful analysis, @tom_goff:disqus . Older adults can become malnourished due to a variety of changes; taste receptors dull with aging; limitations in mobility make cooking more cumbersome, leading to canned soup or cereal as a “main”; losses of partners and peers lead to social circle diminishment and depression, making one’s world smaller and less interesting. Finally, our societal viewpoint of older adults as being less valuable, even invisible (since our culture glorifies health, youth, vitality) leads to smaller and smaller lives. I know that part of my clinical education focused on encouraging “protein” consumption with older adults due to the protective factor of higher weights while aging. Keeping muscle mass (yea, Japanese exercisers!), keeping mentally and socially active, encouraging wide variety of whole fresh foods, and challenging the brain are a Rx for a healthy aging process!