Alcoholism in the elderly. Uncovering a hidden problem.

Currently, about 12% of people in the United States are elderly, and this age-group is one of the most rapidly expanding segments of the population. The incidence of alcoholism in older persons is increasing, and diagnosis can be difficult. Because of age-related physiologic changes, the effects of alcohol are more pronounced in older persons. Furthermore, alcoholism may mimic the effects of aging and many conditions prevalent in this age-group. A high index of suspicion, together with thorough history taking and recognition of the clinical features of alcoholism in the elderly, can aid early detection and appropriate management.