The difficult management of anaphylaxis in the elderly

Curr Opin Allergy Clin Immunol. 2016 Aug;16(4):352-60. doi: 10.1097/ACI.0000000000000280.

Abstract

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.

Publication types

  • Review

MeSH terms

  • Age Factors*
  • Aged
  • Anaphylaxis / diagnosis*
  • Anaphylaxis / epidemiology
  • Anaphylaxis / therapy
  • Animals
  • Disease Management*
  • Epinephrine / therapeutic use
  • Humans
  • Prevalence
  • Risk

Substances

  • Epinephrine