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Related Experiment Videos

Asthma in the elderly.

H Y Lee, T B Stretton

    British Medical Journal
    |October 14, 1972
    PubMed
    Summary
    This summary is machine-generated.

    Late-onset asthma in individuals over 60 presents diagnostic challenges. Recognizing symptom changes and considering allergy history aids in identifying this condition, often requiring steroid therapy.

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    Area of Science:

    • Pulmonology
    • Geriatric Medicine
    • Allergy & Immunology

    Background:

    • Asthma developing after age 60 is uncommon and poses diagnostic difficulties.
    • Patients may have a history of chronic bronchitis, complicating the diagnosis.
    • Symptoms like increased breathlessness and wheezing can be mistaken for other conditions.

    Purpose of the Study:

    • To highlight the diagnostic challenges of adult-onset asthma in the elderly.
    • To identify key indicators for suspecting asthma in this age group.
    • To emphasize the importance of differential diagnosis and follow-up.

    Main Methods:

    • Retrospective case review of fifteen patients diagnosed with asthma after age 60.
    • Analysis of patient histories, including respiratory symptoms, allergies, and past medical conditions.

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  • Review of diagnostic findings such as chest radiographs and eosinophil counts.

    • Main Results:

    • Fifteen patients with new-onset asthma over age 60 were identified.
    • Chronic bronchitis history was common.
    • Key diagnostic clues included abrupt symptom changes (breathlessness, wheezing), allergy history, and eosinophilia.
    • Differential diagnoses like cardiac conditions and tuberculosis were considered.

    Conclusions:

    • Diagnosing asthma in older adults requires heightened clinical suspicion.
    • Characteristic symptom changes and confirmatory evidence (allergy, eosinophilia) are crucial.
    • Careful follow-up and consideration of steroid therapy are essential for managing late-onset asthma.