Department of Allergy & Respiratory Medicine, Royal Sussex County Hospital, Brighton, UK.
Department of Primary Care and Public Health, Brighton & Sussex Medical School, Brighton, UK.
Clin Exp Allergy. 2018 Sep;48(9):1238-1241. doi: 10.1111/cea.13179. Epub 2018 Jun 19.
The UK population is ageing and we can expect more referrals to allergy clinics for this age group. 16% of patients to our clinic are aged >60. Compared to younger patients, 3 times as many referrals were for angioedema. Overall, allergy was excluded in 79% of cases. 15% were diagnosed with previously unrecognised allergies, while allergic disease was confirmed in 6%, enabling optimised management. While the differential diagnosis of allergic conditions is wider in older people, assessment in the allergy clinic is helpful and adds value.
英国人口正在老龄化,我们可以预期这个年龄段会有更多的人到过敏诊所就诊。我们诊所的 16%的患者年龄>60 岁。与年轻患者相比,血管性水肿的转诊人数是其三倍。总的来说,79%的病例排除了过敏。15%的患者被诊断为以前未被识别的过敏,而 6%的患者被确诊为过敏疾病,从而实现了最佳管理。虽然老年人过敏的鉴别诊断范围更广,但在过敏诊所进行评估是有帮助的,并且增加了其价值。