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KMID : 0388220070140010085
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Journal of the Korean Rheumatism Association
2007 Volume.14 No. 1 p.85 ~ p.90
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A Case of Late onset Peripheral Spondyloarthropathy
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Chung Jae-Wook
Park Hae-Sim
Park Tae-Jin
Choi Gil-Soon
Park Han-Jung
Kim Hyun-Ah
Suh Chang-Hee
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Abstract
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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
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KEYWORD
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Spondyloarthropathy, Older patients, Inflammation, Corticosteroids
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