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Rheumatology

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Geriatric Medicine
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Abstract

By all demographic projections, the population 65 years of age and older will increase rapidly in absolute and relative numbers through the year 2020 and beyond. Although in the future the majority of older individuals will be healthy and able to function independently, a significant fraction will develop chronic health problems varying in degree from relatively minor difficulties to severe disabilities. Chronic diseases, and among those arthritis, will contribute prominently to disability. In a survey conducted in 1984 by the National Center for Health Statistics, arthritis ranked first among the 10 most prevalent chronic health problems, with a prevalence of 473 per 1,000 individuals 65 years and older and 495 per 1,000 individuals age 75 and above.

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References

  1. Felson DT, Naimark A, Anderson J, et al. The prevalence of knee osteoarthritis in the elderly: The Framingham Osteoarthritis Study. Arthritis Rheum 1987; 20. 30: 914–918.

    Article  Google Scholar 

  2. Bergström G, Bjelle A, Sorensen LB, et al. Prevalence of rheumatoid arthritis, osteoarthritis, chondrocalcinosis 21. and gouty arthritis at age 79. J Rheum 1986; 13: 527–534.

    PubMed  Google Scholar 

  3. Brandt KD. Osteoarthritis. Clin Geriatr Med 1988; 4: 279–293. 22.

    Google Scholar 

  4. Felson DT, Anderson JJ, Naimark A. Obesity and knee osteoarthritis. Ann Intern Med 1988; 109: 18–24.

    PubMed  CAS  Google Scholar 

  5. Houpt JB, Pritzker KPH, Alpert B, et al. Natural history 23. of spontaneous osteonecrosis of the knee (SONK): A review. Semin Arthritis Rheum 1983; 13: 212–227.

    Article  PubMed  CAS  Google Scholar 

  6. Hall S, Bartleson JD, Onofrio BM, et al. Lumbar spinal 24. stenosis: Clinical features, diagnostic procedures, and results of surgical treatment in 68 patients. Ann Intern Med 1985; 103: 271–275. 25.

    PubMed  CAS  Google Scholar 

  7. Hult L. Cervical, dorsal and lumbar spinal syndromes. A field investigation of a non-selected material of 1200 workers in different occupations with special reference 26. to disc degeneration and so-called muscular rheumatism. Acta Orthop Scand 1954;Suppl 17: 1–102.

    Google Scholar 

  8. Griffin MR, Ray WA, Schaffner W. Nonsteroidal anti- 27. inflammatory drug use and death from peptic ulcer in elderly persons. Ann Intern Med 1988; 109: 359–363.

    PubMed  CAS  Google Scholar 

  9. Hollingworth P, Scott JT, Burry HC. Nonarticular gout: 28. Hyperuricemia and tophus formation without gouty arthritis. Arthritis Rheum 1983; 26: 98–101. 29.

    Article  PubMed  CAS  Google Scholar 

  10. Shmerling RH, Stern SH, Gravallese EM, et al. Tophaceous deposition in the finger pads without gouty arthritis. Arch Intern Med 1988; 148: 1830–1832.

    Article  PubMed  CAS  Google Scholar 

  11. Ellman MH, Brown ML, Levin B: Prevalence of knee 30. chondrocalcinosis in hospital and clinic patients aged 50 or older. J Am Geriatr Soc 1981; 29: 189–192.

    PubMed  CAS  Google Scholar 

  12. Menkes CJ, Simon F, Delrieu F, et al. Destructive arthropathy in chondrocalcinosis. Arthritis Rheum 1976; 19 (Suppl): 329–348.

    Article  PubMed  Google Scholar 

  13. Reginato AJ, Schumacher HR: Crystal-associated arthropathies. Clin Geriatr Med 1988; 4: 295–322.

    PubMed  CAS  Google Scholar 

  14. McCarty DJ, Halverson PB, Carrera GF, et al. Milwaukee shoulder association of microspheroids containing hydroxyapatite crystals, active collagenase and neutral protease with rotator cuff defects. I. Clinical aspects. Arthritis Rheum 1981; 24: 464–473.

    Article  PubMed  CAS  Google Scholar 

  15. Hunder GG, Hazleman BL. Giant cell arteritis and polymyalgia rheumatica. In: Kelley WN, Harrris ED, Ruddy S, Sledge CB, edts. Textbook of Rheumatology. Philadelphia: W.B. Saunders. 1985, pp 1166–1173.

    Google Scholar 

  16. Chuang T-Y, Hunder GG, Ilstrup DM, et al. Polymyalgia rheumatica: A 10-year epidemiologic and clinical study. Ann Intern Med 1982; 97: 672–680.

    PubMed  CAS  Google Scholar 

  17. Machado EB, Michet CJ, Ballard DJ, et al. Temporal arteritis: An epidemiologic and clinical study. Arthritis Rheum 1987;30:No.4(Suppl) S50.

    Google Scholar 

  18. Boesen P, Sorensen SF. Giant cell arteritis, temporal arteritis, and polymyalgia rheumatica in a Danish county: A prospective investigation, 1982–1985. Arthritis Rheum 1987; 30: 294–299.

    Article  PubMed  CAS  Google Scholar 

  19. Ostberg G: On arteritis with special reference to polymyalgia arteritica. Acta Pathol Microbiol Scand 1973; 237 (Suppl A): 1–59.

    Google Scholar 

  20. Richardson JE, Gladman DD, Fam A, et al. HLA-DR4 in giant cell arteritis: Association with polymyalgia rheumatica syndrome. Arthritis Rheum 1987; 30: 1293–1297.

    Article  PubMed  CAS  Google Scholar 

  21. Calamia KT, Hunder GG. Giant cell arteritis (temporal arteritis) presenting as fever of undetermined origin. Arthritis Rheum 1981; 24: 1414–1418.

    Article  PubMed  CAS  Google Scholar 

  22. Säve-Söderbergh J, Malmvall B-E, Andersson R, et al. Giant cell arteritis as a cause of death: Report of nine cases. JAMA 1986; 255: 493–496.

    Article  PubMed  Google Scholar 

  23. Ayoub WT, Franklin CM, Torretti T. Polymyalgia rheumatica: Duration of therapy and long-term outcome. Am J Med 1985; 79: 309–315.

    Article  PubMed  CAS  Google Scholar 

  24. Schmidt KL, Frencl V. Die rheumatoide Arthritis mit Beginn im höheren Lebensalter. Dtsch Med Wochenschr 1982; 107: 1506–1510.

    Article  PubMed  CAS  Google Scholar 

  25. Terkeltaub R, Esdaile J, Décary F, et al. A clinical study of older age rheumatoid arthritis with comparison to a younger onset group. J Rheum 1983; 10: 418–424.

    PubMed  CAS  Google Scholar 

  26. Deal CL, Meenan RF, Goldenberg DL, et al. The clinical features of elderly-onset rheumatoid arthritis. Arthritis Rheum 1985; 28: 987–994.

    Article  PubMed  CAS  Google Scholar 

  27. McCarty DJ, O’Duffy JD, Pearson L, et al. Remitting seronegative symmetrical synovitis with pitting edema. JAMA 1985; 254: 2763–2767.

    Article  PubMed  CAS  Google Scholar 

  28. Steffe LA, Cooke CL. Still’s disease in a 70-year-old woman. JAMA 1983; 249: 2062–2063.

    Article  PubMed  CAS  Google Scholar 

  29. Arnett FC, Edworthy SM, Bloch DA et al. The American Rheumatism Association 1987 revised criteria for classification of rheumatoid arthritis. Arthritis Rheum 1988; 31: 315–324.

    Article  PubMed  CAS  Google Scholar 

  30. Kean WF, Anastassiades TP, Dwash IL, et al. Efficacy and toxicity of D-penicillamine for rheumatoid disease in the elderly. J. Am Geriatr Soc 1982; 30: 94–100.

    PubMed  CAS  Google Scholar 

  31. Mitchell DM, Spitz PW, Young DY, et al. Survival, prognosis, and causes of death in rheumatoid arthritis. Arthritis Rheum 1986; 29: 706–714.

    Article  PubMed  CAS  Google Scholar 

  32. Laakso M, Mitru O, Isomäki H, et al. Mortality from amyloidosis and renal disease in patients with rheumatoid arthritis. Ann Rheum Dis 1986; 45: 663–667.

    Article  PubMed  CAS  Google Scholar 

  33. Dimant J, Ginzler EM, Schlesinger M, et al. Systemic lupus erythematosus in the older age group: Computer analysis. J Am Geriatr Soc 1979; 27: 58–61.

    PubMed  CAS  Google Scholar 

  34. Ballou SP, Khan MA, Kushner I. Clinical features of systemic lupus erythematosus. Differences related to race and age of onset. Arthritis Rheum 1982; 25: 55–60.

    Article  PubMed  CAS  Google Scholar 

  35. Catoggio LJ, Skinner RP, Smith G, et al. Systemic lupus erythematosus in the elderly: Clinical and serological characteristics. J Rheum 1984; 11: 175–181.

    PubMed  CAS  Google Scholar 

  36. Hochberg MC, Boyd RE, Ahearn JM, et al. Systemic lupus erythematosus: A review of clinico-laboratory features and immunogenetic markers in 150 patients with emphasis on demographic subsets. Medicine 1985; 64: 285–295.

    Article  PubMed  CAS  Google Scholar 

  37. Baer AN, Pincus T. Occult systemic lupus erythematosus in elderly men. JAMA 1983; 249: 3350–3352.

    Article  PubMed  CAS  Google Scholar 

  38. Studenski S, Allen NB, Caldwell DS, et al. Survival in systemic lupus erythematosus. A multivariate analysis of demographic factors. Arthritis Rheum 1987; 30: 1326–1331.

    Google Scholar 

  39. Medsger TA, Personal communication. Benedek TG. Neoplastic associations of rheumatic diseases and rheumatic manifestations of cancer. Clin Geriatr Med 1988;4:333–355.

    Google Scholar 

  40. Malinow KL, Molina R, Gordon B, et al. Neuropsychiatric dysfunction in primary Sjögren’s syndrome. Ann Intern Med 1985; 103: 344–349.

    PubMed  CAS  Google Scholar 

  41. Alexander EL, Malinow K, Lejewski JE. Primary Sjögren’s syndrome with central nervous system disease mimicking multiple sclerosis. Ann Intern Med 1986; 104: 323–330.

    PubMed  CAS  Google Scholar 

  42. Medsger TA, Dixon JA, Garwood VF. Palmar fasciitis and polyarthritis associated with ovarian carcinoma. Ann Intern Med 1982; 96: 424–431.

    PubMed  CAS  Google Scholar 

  43. Freundlich B, Makover D, Maul GG. A novel antinuclear antibody associated with a lupus-like paraneoplastic syndrome. Ann Intern Med 1988; 109: 295–297.

    PubMed  CAS  Google Scholar 

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© 1990 Springer Science+Business Media New York

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Sorensen, L.B. (1990). Rheumatology. In: Cassel, C.K., Riesenberg, D.E., Sorensen, L.B., Walsh, J.R. (eds) Geriatric Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-2093-8_16

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  • DOI: https://doi.org/10.1007/978-1-4757-2093-8_16

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4757-2095-2

  • Online ISBN: 978-1-4757-2093-8

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