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Age-dependent differences in anaphylaxis: elderly population.

Alessandro Barone1, Francesca Nicoletta2, Martina Ottoni1

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Summary

Anaphylaxis in older adults is often triggered by drugs and insect venom. Cardiovascular symptoms like syncope are common, and while adrenaline is key, its use remains suboptimal in this vulnerable population.

Keywords:
adrenalineanaphylaxiselderly populationfood allergysenescence

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Area of Science:

  • Gerontology
  • Immunology
  • Emergency Medicine

Background:

  • Anaphylaxis in the elderly is understudied despite population growth.
  • Age-dependent differences exist in anaphylaxis triggers, cofactors, and symptoms.

Purpose of the Study:

  • To review elicitors, risk factors, clinical manifestations, and management of anaphylaxis in individuals over 65.
  • To highlight age-specific considerations for anaphylaxis in the elderly population.

Main Methods:

  • Literature review focusing on studies of anaphylaxis in individuals aged 65 and older.
  • Analysis of available data on triggers, symptoms, and treatment outcomes.

Main Results:

  • Drugs and insect venom are primary anaphylaxis triggers in the elderly.
  • Idiopathic and food-related anaphylaxis rates are increasing in older adults.
  • Elderly patients face higher risks due to comorbidities and polypharmacy, leading to poorer outcomes.

Conclusions:

  • Cardiovascular symptoms, particularly syncope, are characteristic of anaphylaxis in older adults.
  • Adrenaline is the primary treatment, but its use is suboptimal in this age group.
  • Effective management requires addressing comorbidities and optimizing adrenaline administration in elderly patients.