Tutuncu Zuhre, Kavanaugh Arthur
Division of Rheumatology, Allergy and Immunology, University of California-San Diego, La Jolla, CA 92093-0943, USA.
Clin Geriatr Med. 2005 Aug;21(3):513-25, vi. doi: 10.1016/j.cger.2005.02.009.
This review summarizes the different aspects of rheumatoid arthritis and the spectrum of diseases that can present as rheumatoid arthritis-like arthritis in the elderly population. With the aging of Western population, different forms of inflammatory arthritis' prevalence and incidence are increasing in the elderly persons. Difficulties in establishing the diagnosis and introducing new treatment modalities in this patient group poses a great challenge for the clinicians. The management of inflammatory arthritis in the elderly requires special consideration in regard to the comorbidities and increased frequency of adverse events. There is definitely a substantial need for improving different aspects of diagnostic and therapeutic interventions that will reduce the impact of inflammatory arthritis in the growing elderly population.
本综述总结了类风湿关节炎的不同方面以及在老年人群中可表现为类风湿关节炎样关节炎的疾病谱。随着西方人口老龄化,不同形式的炎性关节炎在老年人中的患病率和发病率正在上升。在这一患者群体中确立诊断和引入新的治疗方式存在困难,这给临床医生带来了巨大挑战。老年人炎性关节炎的管理需要特别考虑合并症和不良事件发生率增加的情况。确实迫切需要改善诊断和治疗干预的各个方面,以减少炎性关节炎对不断增长的老年人群的影响。