Rheumatoid arthritis in elderly patients

Rheumatoid arthritis (RA), which affects about 1% of the adult population mostly in old age, has specific clinical features at the onset in elderly and senile people. The paper describes two clinical cases that are demonstrative as the rare variant of RA onset at old age (86 years). In one case, the...

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Main Authors: T. A. Raskina, O. S. Malyshenko, S. Yu. Pankratova, V. B. Fanaskov, M. V. Letaeva
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2017-03-01
Series:Современная ревматология
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Online Access:https://mrj.ima-press.net/mrj/article/view/736
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author T. A. Raskina
O. S. Malyshenko
S. Yu. Pankratova
V. B. Fanaskov
M. V. Letaeva
author_facet T. A. Raskina
O. S. Malyshenko
S. Yu. Pankratova
V. B. Fanaskov
M. V. Letaeva
author_sort T. A. Raskina
collection DOAJ
description Rheumatoid arthritis (RA), which affects about 1% of the adult population mostly in old age, has specific clinical features at the onset in elderly and senile people. The paper describes two clinical cases that are demonstrative as the rare variant of RA onset at old age (86 years). In one case, the female patient was observed to have an acute onset, polyarthritis with sharp pains, obvious exudative phenomena, with significant functional limitation, and a relatively rapid course of the pathological process with high immunological activity. The other patient showed, on the contrary, a gradual onset of the disease with the minimal clinical and immunological manifestations and a rapid progressive joint destruction. Both patients were found to have several concomitant diseases, which corresponds to the comorbidity data given by different authors in elderly patients, including those with RA. The specific feature of the described clinical cases is the disease onset at 86 years; therefore during hospitalization, there was a differential diagnosis of articular syndrome in the presence of this age-related cancer that was ruled out by examination.
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spelling doaj-art-530e2da9c5b84f8e873be4f6cda8cecc2025-08-20T03:20:59ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2017-03-01111333710.14412/1996-7012-2017-1-33-372018Rheumatoid arthritis in elderly patientsT. A. Raskina0O. S. Malyshenko1S. Yu. Pankratova2V. B. Fanaskov3M. V. Letaeva4Kemerovo State Medical Academy, Ministry of Health of RussiaKemerovo State Medical Academy, Ministry of Health of RussiaRegional Clinical Hospital for War VeteransRegional Clinical Hospital for War VeteransKemerovo State Medical Academy, Ministry of Health of RussiaRheumatoid arthritis (RA), which affects about 1% of the adult population mostly in old age, has specific clinical features at the onset in elderly and senile people. The paper describes two clinical cases that are demonstrative as the rare variant of RA onset at old age (86 years). In one case, the female patient was observed to have an acute onset, polyarthritis with sharp pains, obvious exudative phenomena, with significant functional limitation, and a relatively rapid course of the pathological process with high immunological activity. The other patient showed, on the contrary, a gradual onset of the disease with the minimal clinical and immunological manifestations and a rapid progressive joint destruction. Both patients were found to have several concomitant diseases, which corresponds to the comorbidity data given by different authors in elderly patients, including those with RA. The specific feature of the described clinical cases is the disease onset at 86 years; therefore during hospitalization, there was a differential diagnosis of articular syndrome in the presence of this age-related cancer that was ruled out by examination.https://mrj.ima-press.net/mrj/article/view/736rheumatoid arthritisspecific clinical featureselderly and senile age.
spellingShingle T. A. Raskina
O. S. Malyshenko
S. Yu. Pankratova
V. B. Fanaskov
M. V. Letaeva
Rheumatoid arthritis in elderly patients
Современная ревматология
rheumatoid arthritis
specific clinical features
elderly and senile age.
title Rheumatoid arthritis in elderly patients
title_full Rheumatoid arthritis in elderly patients
title_fullStr Rheumatoid arthritis in elderly patients
title_full_unstemmed Rheumatoid arthritis in elderly patients
title_short Rheumatoid arthritis in elderly patients
title_sort rheumatoid arthritis in elderly patients
topic rheumatoid arthritis
specific clinical features
elderly and senile age.
url https://mrj.ima-press.net/mrj/article/view/736
work_keys_str_mv AT taraskina rheumatoidarthritisinelderlypatients
AT osmalyshenko rheumatoidarthritisinelderlypatients
AT syupankratova rheumatoidarthritisinelderlypatients
AT vbfanaskov rheumatoidarthritisinelderlypatients
AT mvletaeva rheumatoidarthritisinelderlypatients