Течение ревматоидного артрита у пациентки с дебютом заболевания в старческом возрасте

Abstract

A description of the clinical case of a female patient with the onset of rheumatoid arthritis (RA) in an old age is presented. The disease began acutely against the background of comorbid pathology and was manifested by high activity, multiple involvement of large and small joints, and their swelling. A thorough examination was performed to exclude paraneoplastic syndrome. Comorbid conditions and impaired renal function did not allow the prescription of basic drugs; a good effect was obtained from methylprednisolone. Management of elderly and senile patients with RA requires an individual approach, taking into account concomitant diseases and drug tolerability.