A Case of Late onset Peripheral Spondyloarthropathy.
10.4078/jkra.2007.14.1.85
- Author:
Jae Wook CHUNG
1
;
Tae Jin PARK
;
Gil Soon CHOI
;
Han Jung PARK
;
Hyoun Ah KIM
;
Hae Sim PARK
;
Chang Hee SUH
Author Information
1. Department of Allergy-Rheumatology, Ajou University School of Medicine, Suwon, Korea. chsuh@ajou.ac.kr
- Publication Type:Case Report
- Keywords:
Spondyloarthropathy;
Older patients;
Inflammation;
Corticosteroids
- MeSH:
Adrenal Cortex Hormones;
Adult;
Aged;
Antirheumatic Agents;
Arthritis;
Arthritis, Psoriatic;
Arthritis, Reactive;
Edema;
Extremities;
Fever;
Humans;
Inflammation;
Inflammatory Bowel Diseases;
Lower Extremity;
Middle Aged;
Rheumatic Diseases;
Spondylarthropathies*;
Spondylitis, Ankylosing
- From:The Journal of the Korean Rheumatism Association
2007;14(1):85-90
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The spondyloarthropathies are a group of inflammatory rheumatic diseases including ankylosing spondylitis, reactive arthritis, psoriatic arthritis, arthritis associated with inflammatory bowel disease, and undifferentiated spondyloarthropathy. It usually begins in young or middle aged adults, but sometimes presents with atypical symptoms in the older patients. Late onset spondyloarthropathies are characterized by severe disease, marked elevation of laboratory parameters of inflammation, oligoarthritis involving the lower limbs with edema of the extremities. We described a 66-year-old patient who presented with asymmetric polyarthritis mainly involving lower extremities with fever, marked elevation of laboratory inflammatory markers, and was successfully treated with mini-pulse corticosteroids with disease modifying antirheumatic drugs.
