Geriatric rheumatology
Geriatric Rheumatology is a sub-specialty of Rheumatology that focuses on the diagnosis and treatment of rheumatic diseases in elderly patients. This field is particularly important due to the increasing age of the population and the higher incidence of rheumatic diseases in older individuals.
Overview
Geriatric rheumatology is concerned with the management of rheumatic conditions in older adults. These conditions include osteoarthritis, rheumatoid arthritis, gout, polymyalgia rheumatica, and giant cell arteritis. The management of these conditions in older adults can be complex due to the presence of comorbidities, polypharmacy, and age-related changes in physiology and drug metabolism.
Diagnosis
The diagnosis of rheumatic diseases in older adults can be challenging due to the atypical presentation of these conditions in this population. For example, rheumatoid arthritis may present with more systemic symptoms such as weight loss and fatigue rather than the typical joint symptoms. In addition, the presence of comorbidities can complicate the diagnosis.
Treatment
The treatment of rheumatic diseases in older adults requires a comprehensive approach that takes into account the patient's overall health status, comorbidities, and functional status. This may involve the use of pharmacological treatments, physical therapy, and lifestyle modifications. The goal of treatment is to improve the patient's quality of life and functional status while minimizing the risk of adverse effects.
Research
Research in geriatric rheumatology is focused on improving the diagnosis and treatment of rheumatic diseases in older adults. This includes the development of new diagnostic tools and treatment strategies, as well as research into the underlying mechanisms of these diseases.
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Contributors: Prab R. Tumpati, MD