A Case of Late onset Peripheral Spondyloarthropathy
고령의 환자에 발생한 말초형 척추관절병증
정, 재욱; 박, 태진; 최, 길순; 박, 한정; 김, 현아; 박, 해심; 서, 창희
The Journal of the Korean Rheumatism Association, 14(1):85-90, 2007
The Journal of the Korean Rheumatism Association; 대한류마티스학회지
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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