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- Title
Geriatrik dönemde karşılaşılan romatolojik hastalıkların izleminde karşılaşılan sorunlar.
- Authors
Yılmaz, Neslihan; Özulu Türkmen, Banu; Üçer, Mehtap; Çurgunlu, Aslı; Yavuz, Şule
- Abstract
Objective: Musculoskeletal disorders are one of the most com- mon problems in elderly and also an important cause of morbid- ity. The aim of our study is define characteristics of rheumatic problems in the elderly. Methods: In this study, patients with a diagnosis of rheumatologic diseases over 65 years of age and followed between 2013 and 2017 were retrospectively evaluated. Results: A total of 148 patients (female: 105, male: 43) were included to our study. The mean age was 75.3±6.5 years. Rheumatoid arthritis was identified as the most frequent rheumatologic disease in this group. All patients had at least one concom- mittant disease and the most common were hypertension and osteoporosis. Patients has long-term follow-up were evaluated separately for drug side effects. In this subgroup; almost all patients were using corticosteroids (87/90, 96.6%) and synthetic disease modifying drugs (DMARDs) (85/90, 94.4%) and, a small number of patients (9/90, 10%) were treated with biological drugs. We observed severe infection in 3, hyperglisemia in 7 and myopathy in 1 patients due to steroids. Severe gastrointestinal bleeding was observed in 1 patient using non-steroidal antiinflammatory drug (NSAID). Only mild side effects, recovering after reducing the dose or changing the drug, were determined due to synthetic DMARDs. Conclusion: Rheumatoid arthritis was found to be the most common elderly onset inflammatory rheumatologic disease. Choosing the appropriate treatment option can be difficult due to comor- bidities in geriatric patients. The most significant side effects were observed in high dose corticosteroid and NSAlDs usage. However, in study group synthetic DMARDs were generally well tolerated.
- Publication
RAED Journal / RAED Dergisi, 2017, Vol 9, Issue 1/2, p1
- ISSN
1301-4021
- Publication type
Article
- DOI
10.2399/raed.17.21939