This is also known as asteatotic eczema and it occurs in older people who have thinner and dryer skin. Large dry scales may form on the skin giving a "crazy-paving" appearance to the skin. It is extremely common in communities of elderly people and may be triggered by soap remaining on the skin after a bed bath. Using a good moisturising routine and reducing the use of soap can alleviate it. Steroid creams are generally best avoided because the underlying skin is already very thin and delicate.