What treatment strategies are effective for senile gluteal dermatosis when patients do not improve with standard lifestyle modifications and emollients?  

Senile gluteal dermatosis is very difficult to treat, as you know. What I have tried to do is methodically go through each lifestyle modification, such as sitting position and having the patient move frequently - be as sure as you can - that they are able to achieve these modifications to some degre...

I have recommended donut cushions for my patient, and it helped him tremendously, even clearing the rash. He says he now has these everywhere in the house!