Particularities and management of late-onset rheumatoid arthritis
Introduction: rheumatoid arthritis is an autoimmune disease with articular and extra-articular involvement. It is considered late-onset when it begins after age 60 and has its own distinctive characteristics. Objective: to analyze the demographic, clinical and treatment characteristics of late-onset...
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| Format: | Article |
| Language: | Spanish |
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Editorial Ciencias Médicas
2024-03-01
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| Series: | Acta Médica del Centro |
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| Online Access: | https://revactamedicacentro.sld.cu/index.php/amc/article/view/1911 |
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| author | Enrique Martínez González Liena Perdomo Roselló Reiny Lorena Rosquete Ávila |
| author_facet | Enrique Martínez González Liena Perdomo Roselló Reiny Lorena Rosquete Ávila |
| author_sort | Enrique Martínez González |
| collection | DOAJ |
| description | Introduction: rheumatoid arthritis is an autoimmune disease with articular and extra-articular involvement. It is considered late-onset when it begins after age 60 and has its own distinctive characteristics.
Objective: to analyze the demographic, clinical and treatment characteristics of late-onset rheumatoid arthritis.
Methods: automated documentary review in the PubMed/Medline and Scielo databases (Google Scholar was used as a search engine) in the period between January and June 2023. 24 articles were selected, 75% updated.
Results: there is a 1:1 relationship between sexes, with three fundamental forms of presentation of the disease. The clinical characteristics are heterogeneous, with greater involvement of large joints, more constitutional symptoms, stiffness and extra-articular manifestations mostly of a cardiorespiratory nature, as well as less seropositivity. The prognosis depends mainly on age, comorbidities, seropositivity and the type of treatment; which is worse than in younger patients. Therapeutic management has the same objectives as in early-onset disease and there is a tendency towards less intensive treatments with antirheumatic drugs.
Conclusions: late-onset rheumatoid arthritis has particular characteristics that must be taken into account for accurate and early diagnosis, adequate therapeutic management and control of possible adverse effects and good adherence to treatment. |
| format | Article |
| id | doaj-art-fda4dc295d974701bec17071c9651ae3 |
| institution | Kabale University |
| issn | 2709-7927 |
| language | Spanish |
| publishDate | 2024-03-01 |
| publisher | Editorial Ciencias Médicas |
| record_format | Article |
| series | Acta Médica del Centro |
| spelling | doaj-art-fda4dc295d974701bec17071c9651ae32025-02-05T02:08:58ZspaEditorial Ciencias MédicasActa Médica del Centro2709-79272024-03-01181e1911e19111236Particularities and management of late-onset rheumatoid arthritisEnrique Martínez González0Liena Perdomo Roselló1Reiny Lorena Rosquete Ávila2Hospital Provincial Clínico Quirúrgico Universitario “Arnaldo Milián Castro”Hospital Provincial Clínico Quirúrgico Universitario “Arnaldo Milián Castro”Hospital Provincial Clínico Quirúrgico Universitario “Arnaldo Milián Castro”Introduction: rheumatoid arthritis is an autoimmune disease with articular and extra-articular involvement. It is considered late-onset when it begins after age 60 and has its own distinctive characteristics. Objective: to analyze the demographic, clinical and treatment characteristics of late-onset rheumatoid arthritis. Methods: automated documentary review in the PubMed/Medline and Scielo databases (Google Scholar was used as a search engine) in the period between January and June 2023. 24 articles were selected, 75% updated. Results: there is a 1:1 relationship between sexes, with three fundamental forms of presentation of the disease. The clinical characteristics are heterogeneous, with greater involvement of large joints, more constitutional symptoms, stiffness and extra-articular manifestations mostly of a cardiorespiratory nature, as well as less seropositivity. The prognosis depends mainly on age, comorbidities, seropositivity and the type of treatment; which is worse than in younger patients. Therapeutic management has the same objectives as in early-onset disease and there is a tendency towards less intensive treatments with antirheumatic drugs. Conclusions: late-onset rheumatoid arthritis has particular characteristics that must be taken into account for accurate and early diagnosis, adequate therapeutic management and control of possible adverse effects and good adherence to treatment.https://revactamedicacentro.sld.cu/index.php/amc/article/view/1911artritis reumatoideinicio tardío de la enfermedad |
| spellingShingle | Enrique Martínez González Liena Perdomo Roselló Reiny Lorena Rosquete Ávila Particularities and management of late-onset rheumatoid arthritis Acta Médica del Centro artritis reumatoide inicio tardío de la enfermedad |
| title | Particularities and management of late-onset rheumatoid arthritis |
| title_full | Particularities and management of late-onset rheumatoid arthritis |
| title_fullStr | Particularities and management of late-onset rheumatoid arthritis |
| title_full_unstemmed | Particularities and management of late-onset rheumatoid arthritis |
| title_short | Particularities and management of late-onset rheumatoid arthritis |
| title_sort | particularities and management of late onset rheumatoid arthritis |
| topic | artritis reumatoide inicio tardío de la enfermedad |
| url | https://revactamedicacentro.sld.cu/index.php/amc/article/view/1911 |
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