Late-onset, seropositive, erosive rheumatoid arthritis.

Abstract:

:This report describes the natural history, clinical features, and therapeutic requirements of late-onset seropositive and/or erosive rheumatoid arthritis (LORA). One hundred twenty-nine patients with mean disease duration of 6 years and mean age of disease onset of 66 years were studied. All patients met American Rheumatism Association criteria for rheumatoid arthritis (RA). Ninety-one percent were seropositive for rheumatoid factor, 83% had erosive disease, and 58% had significant medical problems. Therapeutically, most patients required sequential use of multiple second-line agents. Functional classification did not change significantly despite treatment, and complete remissions were unusual even with remittive therapy. It is concluded that a subset of LORA patients have seropositive aggressive, destructive disease.

journal_name

Semin Arthritis Rheum

authors

Lance NJ,Curran JJ

doi

10.1016/s0049-0172(05)80038-1

subject

Has Abstract

pub_date

1993-12-01 00:00:00

pages

177-82

issue

3

eissn

0049-0172

issn

1532-866X

pii

S0049-0172(05)80038-1

journal_volume

23

pub_type

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