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Geriatric Rheumatology 楊宗翰 11/19, 2008
< 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%
1923  1949 (26) vs 2008 (75)
Aging Process - CTD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Aging Process - Immune System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case Study ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Arthralgia vs Arthritis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy of Joint Joint Pain:  http://www.nlm.nih.gov/medlineplus/ency/article/003261.htm
Differential Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hand
40 – 50 – 60  – 70 – 80 - 90
40 – 50 –  60 – 70 – 80  - 90
40 – 50 –  60 – 70 – 80  - 90
40 – 50 – 60 – 70 –  80 - 90
[object Object],[object Object],[object Object]
Osteoarthritis - hand ,[object Object],[object Object],[object Object],[object Object],[object Object]
   
Prevalence of Hand OA (x-ray) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],%
 
Idiopathic Osteoarthritis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Osteoarthritis ,[object Object]
 
[object Object],[object Object],[object Object],[object Object]
 
Crystal-related Arthropathy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Clinical Courses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Inflammatory … ,[object Object],[object Object],[object Object]
74 yo female RA for 30 yrs
Rheumatoid Arthritis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
Biologics era  (TNF, CD20, …) The complication of treatment …
Knee
3 6
7 8
 
Knee arthritis ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Septic arthritis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Bursitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Systemic Rheumatic Disease (SRD) Connective Tissue Disease (CTD)
20% of elderly patients (48-55%)
Systemic Lupus Erythromatosus ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Drugs … ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Sicca … ,[object Object],[object Object]
Drugs - anticholinergic effects ,[object Object],[object Object],[object Object],[object Object],[object Object]
Infection & inflammation … ,[object Object],[object Object],[object Object],[object Object]
Sicca … ,[object Object],[object Object],[object Object],[object Object],[object Object]
Sjögren's syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Treatment … ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Resources ,[object Object],[object Object],[object Object],[object Object]
 

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