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Very Late Age-Onset Asthma: Mimic of Other Respiratory Diseases and Important Diagnosis Not to Be Missed.

作者信息

Siu Hanson, Michaud Allison, Bardin Philip G

机构信息

Monash Lung Sleep Allergy & Immunology Monash Medical Centre Melbourne Victoria Australia.

Division of Respiratory Medicine Cumming School of Medicine, University of Calgary Alberta Canada.

出版信息

Respirol Case Rep. 2025 Mar 17;13(3):e70148. doi: 10.1002/rcr2.70148. eCollection 2025 Mar.

DOI:10.1002/rcr2.70148
PMID:40099028
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11913527/
Abstract

Asthma is often not recognised and is frequently not diagnosed and treated in older people. This may reflect the belief that the disease is unlikely to manifest late in this group. We report a patient who presented with a respiratory infection and persistent breathlessness after the age of 80. Asthma was not initially suspected, and other diagnoses were pursued. However, subsequent spirometry suggested late age-onset asthma that responded dramatically to appropriate treatment. This case provides a timely reminder for physicians to consider this diagnosis in older patients.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59f5/11913527/98e757771e00/RCR2-13-e70148-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59f5/11913527/a7ff64d45ddd/RCR2-13-e70148-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59f5/11913527/98e757771e00/RCR2-13-e70148-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59f5/11913527/a7ff64d45ddd/RCR2-13-e70148-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59f5/11913527/98e757771e00/RCR2-13-e70148-g001.jpg

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本文引用的文献

1
Diagnostic and therapeutic approaches for elderly asthma patients: the importance of multidisciplinary and multidimensional management.老年哮喘患者的诊断和治疗方法:多学科和多维管理的重要性。
Expert Rev Respir Med. 2023 Jan-Jun;17(6):459-468. doi: 10.1080/17476348.2023.2215432. Epub 2023 May 18.
2
Age- and gender-specific incidence of new asthma diagnosis from childhood to late adulthood.从儿童期到成年后期,新哮喘诊断的年龄和性别特异性发生率。
Respir Med. 2019 Jul-Aug;154:56-62. doi: 10.1016/j.rmed.2019.06.003. Epub 2019 Jun 8.
3
Relationship between airway neutrophilia and ageing in asthmatics and non-asthmatics.
气道中性粒细胞与哮喘患者和非哮喘患者的衰老之间的关系。
Respirology. 2013 Jul;18(5):857-65. doi: 10.1111/resp.12079.
4
Asthma in the elderly: Current understanding and future research needs--a report of a National Institute on Aging (NIA) workshop.老年人哮喘:当前的认识和未来的研究需求——美国国家老龄化研究所(NIA)研讨会的报告。
J Allergy Clin Immunol. 2011 Sep;128(3 Suppl):S4-24. doi: 10.1016/j.jaci.2011.06.048.