老年人过敏反应的难治性管理。
The difficult management of anaphylaxis in the elderly.
作者信息
González-de-Olano David, Lombardo Carla, González-Mancebo Eloína
机构信息
aAllergy Unit, Hospital Universitario de Fuenlabrada, Madrid, Spain bAllergy Unit, Ospedale Santo Spirito, Casale Monferrato - ASL AL, Italy *These authors have contributed equally to this work.
出版信息
Curr Opin Allergy Clin Immunol. 2016 Aug;16(4):352-60. doi: 10.1097/ACI.0000000000000280.
PURPOSE OF REVIEW
In this article, an overview of the main characteristics of the anaphylaxis in the elderly, a subset of the population with particular clinical and physiological features that might influence the presentation and management of this entity, is performed.
RECENT FINDINGS
Life expectancy of the population is increasing and so is the prevalence of allergic diseases in the elderly, including anaphylaxis. Older people present higher risk of fatalities after anaphylaxis, and some comorbidities and pharmacological treatments they may use might also increase that risk.
SUMMARY
Recognition of the main triggers, the risk factors, and the wide variety of presenting symptoms of anaphylaxis is therefore helpful in its management, as well as a prompt initiation of the treatment and a complete follow-up.
综述目的
本文对老年人群过敏反应的主要特征进行概述，这部分人群具有特殊的临床和生理特征，可能会影响该疾病的表现和管理。
最新发现
人群预期寿命在增加，老年人过敏性疾病（包括过敏反应）的患病率也在上升。老年人过敏反应后出现死亡的风险更高，他们可能使用的一些合并症和药物治疗也可能增加该风险。
总结
因此，识别过敏反应的主要触发因素、风险因素以及各种各样的症状表现，有助于对其进行管理，以及及时开始治疗和进行全面随访。
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