rheumatologic disorders in the elderly

Etiology: Connective tissue disorder 1) polymyalgia rheumatica 2) rheumatoid arthritis 3) lupus erythematosus 4) Sjogren's syndrome Vasculitis 1) temporal arteritis 2) Wegener's granulomatosis 3) systemic necrotizing vasculitis 4) isolated angiitis of the CNS 5) small vessel vasculitis Arthritis 1) crystalline arthritis a) pseudogout b) gout c) hydroxyapatite deposition disease -> Milwaukee shoulder syndrome 2) spondyloarthropathy (HLA B27-associated arthritis) a) ankylosing spondylitis b) Reiter's syndrome c) reactive arthritis d) psoriatic arthritis & spondylitis e) enteropathic arthritis & spondylitis (inflammatory bowel disease) 3) infectious arthritis -> Lyme disease 4) osteoarthritis 5) osteitis condensans ilii Myalgia/myositis 1) fibromyalgia 2) inclusion body myositis 3) dermatomyositis 4) polymyositis 5) hypothyroidism 6) muscle cramps Bone/cartilage 1) chondrocalcinosis 2) avascular osteonecrosis 3) Paget's disease of bone Other 1) regional sympathetic dystrophy 2) paraneoplastic syndrome

Specific

fibromyalgia in the elderly granulomatosis with polyangiitis (Wegener's granulomatosis) in the elderly infectious arthritis in the elderly rheumatoid arthritis in the elderly Sjogren's syndrome in the elderly systemic lupus erythematosus in the elderly

General

rheumatologic disease geriatric disorder; disease of old age; geriatric syndrome

References

Weiner, S. In: Intensive Course in Geriatric Medicine & Board Review, Marina Del Ray, CA, Sept 12-15, 2001