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Asthma in the elderly ... Their time is right now.

机译：老年人哮喘...现在是时候了。

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摘要

Asthma is considered to be a problem of children and young adults but has more recently been recognized as a growing clinical problem in the elderly. Between 4% and 13?/o of adults older than 65 years are diagnosed with asthma [1]. Asthma in an older adult is the result either of childhood asthma that is long-lasting, or resurgence of quiescent childhood-onset asthma or late onset disease, In general, asthma in older adults is characterized by less IgE-mediated processes and more frequently by irreversible airway obstruction [2], due to airway remodelling and, sometimes, co-existing COPD and/or bronchiectasis. Thus an accelerated decline in lung function occurs in elderly asthmatics, mainly due to airway remodelling, especially in the small airways from inflammation that characterizes asthma.
机译：哮喘被认为是儿童和年轻人的问题，但最近被认为是老年人中日益严重的临床问题。 65％以上的成年人中有4％至13％/ o被诊断出患有哮喘[1]。老年人的哮喘病是长期持续的儿童哮喘或静止的儿童期哮喘复发或晚期疾病复发的结果。一般而言，老年人的哮喘特征在于较少的IgE介导的过程，而更常见的是不可逆的气道阻塞[2]，这是由于气道重塑以及有时并存的COPD和/或支气管扩张所致。因此，老年哮喘患者的肺功能加速下降，主要是由于气道重塑，特别是在小气道中，哮喘是哮喘的特征。

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