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Revista Colombiana de Reumatología

Print version ISSN 0121-8123

Abstract

OROZCO, Danny Joan et al. Arthritis in elderly. Rev.Colomb.Reumatol. [online]. 2007, vol.14, n.1, pp.66-84. ISSN 0121-8123.

Currently Colombia lives a change in the populational pyramid due to the proportional increment in its elderly people, what lead to a greater prevalence of pathologies that are important in the third age. The aging involve normal physiologic changes in all the systems, which should be understood for the appropriate analysis of the condition of the elderly's health. In the same way the clinical and laboratory presentation varies in the elderly and there is also greater comorbilities and polifarmacy. Therefore it is important to know these variants in the attention of patients older than 65 years. Rheumatologic diseases are not exempt of the above mentioned. The form of presentation and the natural course of diseases like osteoarthritis, crystal-induced arthritis, rheumatoid arthritis and systemic lupus erythematosus can be different in the elderly; there are also characteristic diseases of this age, like polymialgia rheumatica, giant cell arteritis and a greater frequency of articular involvement by cancer. The clinical manifestations and laboratory findings of these diseases will be discussed, focusing in the appropriate differential diagnosis of the articular involvement in the elderly.

Keywords : arthritis; elderly; gout; lupus; rheumatoid arthritis; polymyalgia rheumatica; temporal arteritis; cancer.

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