American Society for Clinical Pathology (ASCP) Histotechnician Certification Practice Exam

What causes the loosened skin commonly seen in geriatric patients?

1. Increased hydration levels

2. Loss of supportive connective tissue

3. Thickening of the epidermis

4. Natural aging of the skin

The correct answer is: Loss of supportive connective tissue

The presence of loosened skin commonly observed in geriatric patients can primarily be attributed to the loss of supportive connective tissue. As individuals age, there is a natural decline in the production of collagen and elastin, which are crucial components that provide the skin with strength, elasticity, and firmness. This reduction leads to a slower rate of skin cell turnover and a decrease in the overall support structure of the skin, resulting in sagging and an increased appearance of wrinkles. While natural aging of the skin and other factors like hydration levels and changes in the epidermis can influence skin appearance, the most significant factor causing the loosening is indeed the loss of connective tissue. As collagen fibers break down, the structure of the skin weakens, leading to the common appearance of flabby, loose skin in older adults.