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Immunoallergic disorders in the elderly
G Martins-Dos-Santos1, M Araújo1, S Prates1
1Department of Immunoallergology, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal.
Summary
Allergic diseases are rising in older adults. This study characterizes common immunoallergic conditions in patients over 65, finding respiratory and skin issues most prevalent.
Area of Science:
- Geriatric Medicine
- Allergology
- Immunology
Background:
- Allergic diseases are increasingly common in the elderly population.
- Limited data exists on the specific immunoallergic profiles of older adults.
- Understanding these conditions is crucial for appropriate patient care.
Purpose of the Study:
- To characterize the spectrum of immunoallergic diseases in patients aged 65 years and above.
- To identify common allergic disorders and associated factors in the elderly.
- To inform clinical management strategies for geriatric allergy patients.
Main Methods:
- Retrospective analysis of electronic medical records.
- Inclusion of patients aged 65+ followed in an Immunoallergology Unit.
- Data collection on diagnosed immunoallergic conditions and demographic factors.
Main Results:
- Respiratory diseases (50%) and mucocutaneous diseases (31%) were the most frequent disorders.
- Drug allergy (8%) and food allergy (2%) were less common but noted.
- Anaphylaxis showed associations with drug and food allergies; specific immunotherapy use was minimal (1%).
- Gender-specific patterns observed: rhinitis/asthma in females, ACE inhibitor/ARB-induced angioedema in males.
Conclusions:
- Immunoallergic disease presentation in the elderly differs from younger populations.
- Respiratory and mucocutaneous conditions are primary concerns in geriatric allergy.
- Recognizing age-specific characteristics is vital for effective management of allergic diseases in older adults.
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