Itching becomes more common after age 60 due to drier skin, reduced barrier function, and age-related changes. While most itch is harmless (often from dry skin or xerosis), persistent or intense itching in certain areas can sometimes point to underlying health issues.
Doctors emphasize evaluating unexplained, long-lasting itch—especially without a visible rash—as it may indicate systemic conditions like kidney/liver disease, blood disorders, or even malignancy. Here are five key itchy spots or patterns many experts highlight as potential red flags.
1. Lower Legs and Shins (Especially with Dry, Cracked Skin)
This is one of the most frequent itchy spots in seniors, often from asteatotic eczema or stasis dermatitis due to poor circulation.
Persistent itching here—particularly if accompanied by swelling, redness, or ulcers—may signal venous insufficiency, diabetes, or kidney issues. Research shows lower leg itch is common in chronic kidney disease.
2. Palms and Soles
Intense itching starting on the palms and soles (cholestatic pruritus) is a classic warning sign.
It often relates to liver or biliary problems, such as cirrhosis, hepatitis, or blocked bile ducts. Studies note this pattern in up to 25% of jaundiced patients and as a paraneoplastic sign in some cancers.
