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《Journal of Bengbu Medicinae College》 2002-02
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Rheumatoid arthritis in the elderly:Analysis of 57 cases

CHEN Lin jie,LIU Chao,LI Zhi jun (Department of Rheumatology,Affiliated Hospital of Bengbu Medical College,Anhui 233004 ,China)  
Objective:To explore the clinical features of elderly onset rheumatoid arthritis(ERA).Methods:The clinical data of 57 ERA patients with onset at the age of sixty or over and 60 patients with non ERA were compared and analyzed.Results:Compared with the patients with non ERA,there was a high frequency of male ERA onset,more frequent acute onset more frequent involvement of shoulder,and the shoulder was more often the first symptomatic jomts;There was less frequent involvement of metatarsophalangeal or phalangophalangeal joints and metatarsophalangeal joint was more often the first symptomatic joints.Morning rigidity lasted shorter.X ray of joints showed that more were in the Ⅰ phase and fewer in the Ⅱ phase.The outer presentation of ERA patients was asthenia,increase of lung marking,more frequent interstitial lung diseases(ILD),and fewer subcutaneous nodes.Positive rate of rheumatoid factor(RF) was lower,ILD of RF(+) was more often seen.The efficiency of treatment was higher( P 0.05~ P 0.005 ).Conclusions:ERA in the elderly is relatively mild,more easily under the control of many kinds of symptom modifying anti rheumatic drug(SMARD).
【CateGory Index】: R593.22
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