Skin Turgor

Skin turgor refers to the elasticity of your skin. When you pinch the skin on your arm, for example, it should spring back into place with a second or two. Having poor skin turgor means it takes longer for your skin to return to its usual position.

It’s often used as a way to check for dehydration. If you’re dehydrated, you may have poor skin turgor.

How is it tested?

They main way to test skin turgor is to lightly pinch your skin, usually on your arm or abdomen. If it takes longer than usual for the skin to bounce back, it could be a sign of dehydration. However, this method isn’t very precise.

With age, your skin loses elasticity, causing poor skin turgor. As a result, an older person’s skin may take 20 seconds to return to normal, even if they aren’t dehydrated. In addition, a 2015 review found that skin turgor wasn’t very effective on its own for detecting dehydration in people over 65.

While it’s not very precise, testing skin turgor is painless and noninvasive. This makes it a good option for checking children for signs of dehydration. However, a 2007 review concluded that it’s only moderately accurate at detecting hydration levels in children, so doctors will often use additional tests.

What causes poor skin turgor?

Poor skin turgor is caused by dehydration. In addition to not drinking enough water, several other things can cause dehydration, including:

Keep in mind that infants, children, and older adults are more likely to become dehydrated if they don’t drink enough fluids.

Q:

Is there a standardized way to describe skin turgor?

Anonymous patient

A:

How one describes or charts skin turgor differs based on the facility. It may be described using a variety of terms, such as normal/abnormal, tenting/no tenting, sluggish/brisk, elastic/inelastic, good/poor, and so on. The facility will often dictate what should be used by placing their own description on a form.

Cynthia Cobb, APRN Answers represent the opinions of our medical experts. All content is strictly informational and should not be considered medical advice.

How is poor skin turgor treated?

Most cases of poor skin turgor just require rehydration. Mild dehydration usually resolves after you drink some water. However, more severe cases may need intravenous fluids. Some children find it easier to tolerate nasogastric fluid therapy, which delivers fluids though a tube that goes through your nose.

If you’re dehydrated due to vomiting, your doctor might also prescribe anti-emetic medication, which can help with nausea and vomiting.

Bottom line:

Skin turgor is a simple measurement of your skin’s elasticity. Doctors sometimes use it to test for signs of dehydration, especially in children. However, as you age, your skin turgor decreases, so it’s not a very precise tool for older adults.

References:
https://www.healthline.com/reviewers/cynthia-cobb-dnp-aprn
https://www.healthline.com/authors/marjorie-hecht
https://www.healthline.com/health/skin-turgor
Canavan A, et al. (2009). Diagnosis and management of dehydration in children.
org/afp/2009/1001/p692.html
Chow CM, et al. (2010). Acute gastroenteritis: From guidelines to real life.
nlm.nih.gov/pmc/articles/PMC3108653/
El-Sharkawy, et al. (2014). The pathophysiology of fluid and electrolyte balance in the older adult surgical patient. DOI:
1016/j.clnu.2013.11.010
Fayomi O, et al. (2007). Is skin turgor reliable as a means of assessing hydration status in children? DOI:
1136/emj.2006.045229
Hooper L, et al. (2015). Detecting dehydration in older people: Useful tests. Nursing Times.
net/roles/older-people-nurses/detecting-dehydration-in-older-people-useful-tests/5089358.article
Ooi SBS. (1997). Assessment of dehydration in adults using hematologic and biochemical tests.
wiley.com/doi/10.1111/j.1553-2712.1997.tb03804.x/epdf
Popov T. (2005). Review: Capillary refill time, abnormal skin turgor, and abnormal respiratory pattern are useful signs for detecting dehydration in children. DOI:
1136/ebn.8.2.57
Saavedra JM. (1991). Capillary refilling (skin turgor) in the assessment of dehydration [Abstract]. DOI:
1001/archpedi.1991.02160030064022
Scheinfeld NS. (2011). Skin disorders in older adults: cutaneous signs of normal aging.
com/article/skin-disorders-older-adults-cutaneous-signs-normal-aging

Leave a comment