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Geriatric Rheumatology
1.
Geriatric Rheumatology 楊宗翰
11/19, 2008
2.
< 45 ≥
75 (old old) 45-59 60-74 (young old) 13.1% 22.1% 32.6% 32.2% 18.1% 21.6% 29.1% 31.3% 15.3% 21.9% 31.0% 31.7% Total World Health Organization (1963) 2004/12 – 2008/10 ≥ 65 27.9% 33.0% <65 72.1% 67.0%
3.
1923 1949
(26) vs 2008 (75)
4.
5.
6.
7.
8.
9.
Anatomy of Joint
Joint Pain: http://www.nlm.nih.gov/medlineplus/ency/article/003261.htm
10.
11.
Hand
12.
40 – 50
– 60 – 70 – 80 - 90
13.
40 – 50
– 60 – 70 – 80 - 90
14.
40 – 50
– 60 – 70 – 80 - 90
15.
40 – 50
– 60 – 70 – 80 - 90
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
74 yo female
RA for 30 yrs
32.
33.
34.
35.
36.
Biologics era
(TNF, CD20, …) The complication of treatment …
37.
Knee
38.
3 6
39.
7 8
40.
41.
42.
43.
44.
45.
46.
47.
Systemic Rheumatic Disease
(SRD) Connective Tissue Disease (CTD)
48.
20% of elderly
patients (48-55%)
49.
50.
51.
52.
53.
54.
55.
56.
57.
58.
59.
60.
61.