Diagnosis and management of asthma in the elderly

Nicola Scichilone, Claudio Pedone, Salvatore Battaglia, Claudio Sorino, Vincenzo Bellia

Research output: Contribution to journalReview article

Abstract

Bronchial asthma is one of the most common chronic diseases worldwide, and by definition not expected to recover with aging. However, the concept that asthma can affect older individuals has been largely denied in the past. In clinical practice, asthma that occurs in the most advanced ages is often diagnosed as COPD, thus leading to undertreatment or improper treatment. The heterogeneity of clinical and functional presentation of geriatric asthma, including the partial loss of reversibility and of the allergic component, contributes to this misconception. A large body of evidence has accumulated demonstrating that the prevalence of asthma in the most advanced ages is similar to that in younger ages. The frequent coexistence of comorbid conditions in older patients compared to younger asthmatics, together with age-associated changes of the human lung, may render the management of asthma a complicated task. The article addresses the main issues related to the diagnosis and treatment of asthma in the geriatric age.

Original languageEnglish (US)
Pages (from-to)336-342
Number of pages7
JournalEuropean Journal of Internal Medicine
Volume25
Issue number4
DOIs
StatePublished - Apr 2014

Keywords

  • Aging
  • Airway inflammation
  • Asthma treatment
  • Comorbidity
  • Lung function

ASJC Scopus subject areas

  • Internal Medicine

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  • Cite this

    Scichilone, N., Pedone, C., Battaglia, S., Sorino, C., & Bellia, V. (2014). Diagnosis and management of asthma in the elderly. European Journal of Internal Medicine, 25(4), 336-342. https://doi.org/10.1016/j.ejim.2014.01.004