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Allergic disorders at a venerable age: a mini-review
1Department of Pediatrics, National Jewish Health, University of Colorado School of Medicine, Denver, Colo., USA.
Allergic diseases like asthma and dermatitis affect 5-10% of older adults, with rising prevalence. Age-related immune decline and compromised barriers worsen these conditions, impacting elderly health.
Area of Science:
- Gerontology
- Immunology
- Allergology
Background:
- Prevalence of allergic diseases in the elderly is 5-10% and increasing.
- Immunosenescence and tissue changes contribute to allergic disorders in older adults.
- Elderly individuals face challenges with immune responses and epithelial barrier integrity.
Purpose of the Study:
- To review asthma, allergic rhinitis, and atopic dermatitis in the elderly.
- To discuss the impact of aging on immune function and allergic disease development.
- To highlight complications such as comorbidities and polypharmacy in elderly patients with allergies.
Main Methods:
- Literature review focusing on allergic diseases in the elderly population.
- Analysis of age-related changes in immune function and tissue structure.
- Examination of common complications and clinical presentations in older adults.
Main Results:
- Allergic diseases affect 5-10% of the elderly, with a rising trend.
- Immunosenescence and compromised epithelial barriers enhance Th2 responses.
- Undiagnosed asthma is prevalent (8%) and linked to respiratory symptoms, impacting autonomy.
Conclusions:
- Allergic disorders in the elderly are influenced by immunosenescence and tissue changes.
- Comorbidities, polypharmacy, and drug side effects are significant concerns.
- Effective management of allergic rhinitis can improve asthma control in older adults.
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