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    עמוד בית
    Sat, 12.04.25

    CASE COMMUNICATION

    IMAJ | volume 25

    Journal 10, October 2023
    pages: 696-697

    Elderly Onset Rheumatoid Arthritis in a 97-year-old Man

    1 Department of Medicine, Federal University of Bahia Recôncavo, Santo Antônio de Jesus, Bahia, Brazil 2 Department of Pediatrics, Universidade Federal de São Paulo, São Paulo, SP, Brazil 3 Department of Internal Medicine and Diagnostic Support, Medical School, Federal University of Bahia, Salvador, Bahia, Brazil

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    Summary

    Rheumatoid arthritis (RA) is an autoimmune chronic inflammatory disease characterized by synovitis leading to polyarthritis. It affects 1% of the population [1]. Genetic and environmental factors are linked to the development of RA and include the presence of HLA-DR4 and shared epitope, and smoking is the primary representative of the negative environmental factor [1].

    However, RA mainly affects middle age. Late-onset RA that initiates after 60 years is sometimes named elderly onset rheumatoid arthritis (EORA) [2]. This disease's prevalence varied from 2.03% to 2.34% in a large study in the United States. EORA affects more women than men [1]. However, to the best of our knowledge, no patient description of RA initiated at 97 years of age has been described.

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