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ISSN 1561-3186 (Electronic)

2020, Number 3

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Rev Acta Médica 2020; 21 (3)

Skin Sensitivity to Mites in Elderly Patients with Allergic Respiratory Disease

Ginard CA, Ceballos RE, Báez LJM, Figueroa GI, Estruch FIM

Language: Spanish
References: 23
Page: 2-14
PDF size: 387.96 Kb.


ABSTRACT

Introduction: Aging causes the immune system to undergo significant changes, a phenomenon called immunosenescence. However, studies in aged adults are few and no strong conclusions exist as to whether atopy, determined by positive skin tests, decreases with age or does not.
Objective: To assess skin sensitivity to mites in aged patients with allergic respiratory disease.
Methods: A case-control study was carried out, between January 2018 and January 2019, with aged patients diagnosed with allergic respiratory disease, all from the protocolized allergy consultations of Hermanos Ameijeiras Clinical-Surgical Hospital. The study population consisted of 60 patients divided into two groups: group A, aged over 60 years old; and group B, aged 18-40 years old. For statistical processing, the variables were compared using the chi-square and Student's t tests.
Results: In both groups, the female sex predominated. The mean age of group A was 67.5±5.6 years. Mild perennial allergic rhinitis (30.0%) and mild persistent asthma (30.0%) were the most frequent diagnoses in group B, while moderate persistent asthma (30.0%) was in group A. In group A, the sensitization profile was described concerning Blomia tropicalis (26.7%), Dermatophagoides Pteronyssinus (23.3%), and Dermatophagoides Siboney (20%); while in group B, the sensitization profile is considered as significantly higher, accounting for 60%, 43.3% and 36.7%, respectively. Regarding histamine values, the characteristics between groups was the same, accounting for 4.5 mm in group A compared to 5.8 mm in group B.
Conclusions: Skin sensitivity to mites in aged patients with allergic respiratory disease was lower than that found in younger patients.


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