Clinical features of late onset psoriatic arthritis

The aim of this work is to compare the clinical and radiological manifestations of patients presenting late onset psoriatic arthritis (PsA) with early onset PsA. An overall of 96 consecutive PsA patients were studied over an 8-month-period. Clinical, laboratory and radiographic signs were assessed....

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Bibliographic Details
Published in:Experimental gerontology 2002-01, Vol.37 (2), p.441-443
Main Authors: López-Montilla, M.D., González, J., Martı&#x0301, nez, F.G., Fernández-Moreno, J.R., Collantes, E.
Format: Article
Language:English
Subjects:
Age of Onset
Aging - blood
Arthritis, Psoriatic - blood
Arthritis, Psoriatic - physiopathology
Elderly
Female
Geriatric rheumatology
HLA-B27 Antigen - blood
Humans
Male
Middle Aged
Psoriatic arthritis
Rheumatoid Factor - blood
Spondyloarthropathy
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Summary:The aim of this work is to compare the clinical and radiological manifestations of patients presenting late onset psoriatic arthritis (PsA) with early onset PsA. An overall of 96 consecutive PsA patients were studied over an 8-month-period. Clinical, laboratory and radiographic signs were assessed. Of the 96 patients studied, 84 had their earliest symptoms before the age of 60 (Group I) and 12 after it (Group II). In Group II the mean age was 65.7 years (range 60–73), the sex ratio (male/female) was 9/3. All patients were HLA-B27 negative; the clinical forms observed were: polyarticular (6 patients; 50%), oligoarticular (4 patients; 33%) and spondyloarthropathy (SpA) (2 patients; 17%). Only two patients had asymmetric sacroiliitis and three had history of dactylitis episodes. In conclusion, we found distinct clinical manifestations in late onset PsA. Peripheral affection was found predominant. The male/female ratio was higher than other age groups.
ISSN:0531-5565
1873-6815
DOI:10.1016/S0531-5565(01)00211-X