Rheumatic Diseases in Older Adults, An Issue of Clinics in Geriatric Medicine
1. Auflage
Erschienen am 24. November 2016
100 Seiten
978-0-323-49658-2 (ISBN)
Beschreibung
This issue of Clinics in Geriatric Medicine, guest edited by Drs. James D. Katz and Brian Walitt of the NIH, is devoted to Rheumatic Diseases in Older Adults. Articles in this outstanding issue include Rheumatology Pharmacotherapy Pearls for the General Practitioner; Sarcopenia - Pathogenesis and Management; Osteoporosis and Metabolic Bone Diseases; Osteoarthritis; Regional Rheumatic Disorders and Rehabilitation in Older Adults; Rheumatological Manifestations of Malignancy; Sjögren's Syndrome; Cardiovascular Disease Risk in Patients with Rheumatic Diseases; Gaps in Aging Research as it Applies to Rheumatological Clinical Care; and Update on Crystal-induced Arthritides.
Weitere Details
Weitere Ausgaben
Andere Ausgaben
James D. Katz | Brian Walitt
Rheumatic Diseases in Older Adults, An Issue of Clinics in Geriatric Medicine: Volume 33-1
Buch
03/2017
Elsevier
91,35 €
Versand in 15-20 Tagen
Inhalt
- Front Cover
- Rheumatic Diseasesin Older Adults
- Copyright
- Contributors
- EDITORS
- AUTHORS
- Contents
- Preface: Rheumatic Diseases in Older Adults
- Pharmacotherapy Pearls for the Geriatrician: Focus on Oral Disease-Modifying Antirheumatic Drugs Including Newer Agents
- Pathogenesis and Management of Sarcopenia
- A Review of Osteoporosis in the Older Adult
- Nonsurgical Management of Osteoarthritis Knee Pain in the Older Adult
- Regional Rheumatic Disorders and Rehabilitation in Older Adults
- Rheumatologic Manifestations of Malignancy
- Sjögren Syndrome and Other Causes of Sicca in Older Adults
- Cardiovascular Disease Risk in Patients with Rheumatic Diseases
- Gaps in Aging Research as it Applies to Rheumatologic Clinical Care
- Update on Crystal-Induced Arthritides
- CLINICS IN GERIATRIC MEDICINE
- FORTHCOMING ISSUES
- May 2017
- August 2017
- November 2017
- RECENT ISSUES
- November 2016
- August 2016
- May 2016
- Preface: Rheumatic Diseases in Older Adults
- REFERENCES
- Pharmacotherapy Pearls for the Geriatrician
- Key points
- INTRODUCTION
- AGE-RELATED CHANGES IN DRUG METABOLISM
- POLYPHARMACY
- HEALTH LITERACY
- AGE BIAS
- METHOTREXATE
- HYDROXYCHLOROQUINE
- SULFASALAZINE
- LEFLUNOMIDE
- TOFACITINIB
- SPECIAL CONSIDERATIONS
- SUMMARY
- ACKNOWLEDGMENTS
- REFERENCES
- Pathogenesis and Management of Sarcopenia
- Key points
- INTRODUCTION
- EPIDEMIOLOGY
- RISK FACTORS
- Lifestyle Lacking Exercise
- Hormone and Cytokine Imbalance
- Protein Synthesis and Regeneration
- Motor Unit Remodelling
- Evolutionary Basis
- Early Developmental Influences
- DIAGNOSING SARCOPENIA
- SARCOPENIA HISTOPATHOLOGY
- MANAGEMENT
- Nonpharmacologic Treatment
- Pharmacological Therapies
- Herbal Supplements and Nutrition
- SECONDARY SARCOPENIA
- Cachexia
- Frailty
- Sarcopenic Obesity
- SUMMARY AND FUTURE DIRECTION
- REFERENCES
- A Review of Osteoporosis in the Older Adult
- Key points
- INTRODUCTION
- SUMMARY
- REFERENCES
- Nonsurgical Management of Osteoarthritis Knee Pain in the Older Adult
- Key points
- INTRODUCTION
- NONPHARMACOLOGIC TREATMENT OPTIONS
- WEIGHT LOSS
- EXERCISE
- Pharmacologic Intervention: Key Points
- TOPICAL THERAPIES
- Topical Nonsteroidal Anti-inflammatory Agents
- Capsaicin
- Intra-articular Corticosteroid Injections
- Intra-articular Hyaluronic Acid Injections
- ORAL THERAPIES
- Nonsteroidal Anti-inflammatory Drugs
- Acetaminophen
- Glucosamine and Chondroitin
- Tramadol and Other Opioids
- SUMMARY
- REFERENCES
- Regional Rheumatic Disorders and Rehabilitation in Older Adults
- Key points
- INTRODUCTION
- WHAT IS A REGIONAL RHEUMATIC DISORDER?
- PATIENT EVALUATION CONSIDERATIONS
- REHABILITATION MEDICINE HISTORY
- PHYSICAL EXAMINATION
- SUPPLEMENTARY WORK-UP
- COMMON REGIONAL RHEUMATIC PAIN SYNDROMES
- Bursae Disorders
- Ligamentous injuries
- Muscle or tendon injuries
- SPECIFIC TESTS
- OUTCOME MEASURES
- ADDRESSING AND DOCUMENTING THE NEED FOR PHYSICAL REHABILITATION
- THE PHILOSOPHY OF PHYSICAL REHABILITATION
- GENERAL CONSIDERATIONS IN GERIATRIC REHABILITATION
- Aging is a heterogeneous process
- Older Adults Commonly Have Multiple Chronic Conditions
- Older Adults Have Unique Psychosocial Needs
- Physical Rehabilitation Efforts Should Focus On Function
- THE PLAN OF CARE
- Goal Setting
- NONINVASIVE PROCEDURAL INTERVENTIONS
- PATIENT EDUCATION
- Joint Protection
- Energy Conservation
- Environmental Adaptations
- INVASIVE PHYSIATRIC INTERVENTIONS
- Acupuncture/Dry Needling
- Intra-articular Injections
- Viscohyaluronic Acid
- Regenerative Injections
- Prolotherapy
- Platelet-rich Plasma
- Soft Tissue Injections
- Ultrasonography-guided Needle Fenestration/Tenotomy
- FUTURE RESEARCH CONSIDERATIONS
- REFERENCES
- Rheumatologic Manifestations of Malignancy
- Key points
- INTRODUCTION
- CLINICAL CLUES FOR PRESENCE OF AN OCCULT MALIGNANCY
- SPECTRUM OF RHEUMATOLOGIC MANIFESTATIONS OF MALIGNANCIES
- Primary or Metastatic Tumors Involving the Bone, Joint, Muscles, or Associated Structures
- Increased Risk of Malignancies in Certain Autoimmune Rheumatologic Conditions
- Rheumatoid arthritis
- Systemic lupus erythematosus
- Systemic sclerosis and myositis
- Inflammatory myopathies
- Vasculitides
- Paraneoplastic Musculoskeletal Syndromes
- Hypertrophic osteoarthropathy
- Paraneoplastic polyarthritis
- Palmar fasciitis and polyarthritis syndrome
- Remitting seronegative symmetric synovitis with pitting edema (RS3PE)
- Multicentric reticulohistiocytosis (MRH)
- Erythromelalgia
- Sweet syndrome (acute febrile neutrophilic dermatosis)
- Canale-Smith stiff-person or stiff-man syndrome
- Tumor-induced osteomalacia or oncogenic osteomalacia
- Polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, skin changes (POEMS) syndrome
- Eosinophilic fasciitis
- Lupus-like syndromes
- Polymyalgia rheumatica-like syndrome
- Pyogenic arthritis
- SUMMARY
- REFERENCES
- Sjögren Syndrome and Other Causes of Sicca in Older Adults
- Key points
- INTRODUCTION
- DRY EYE
- XEROSTOMIA AND SALIVARY HYPOFUNCTION
- VAGINAL DRYNESS
- SJÖGREN SYNDROME
- DIAGNOSIS OF SJÖGREN SYNDROME
- MANAGEMENT OF SJÖGREN SYNDROME
- SUMMARY
- REFERENCES
- Cardiovascular Disease Risk in Patients with Rheumatic Diseases
- Key points
- INTRODUCTION
- WHAT EXPLAINS THE EXCESS CARDIOVASCULAR DISEASE RISK IN RHEUMATOID ARTHRITIS?
- ROLE OF DYSLIPIDEMIA IN CARDIOVASCULAR DISEASE RISK IN RHEUMATOID ARTHRITIS
- Can Lipoprotein Particle Concentrations Explain the Lipid Paradox in Rheumatoid Arthritis?
- Current Risk Factors in Rheumatoid Arthritis Patients Underestimate Prior Exposures and Burden of Atherosclerosis
- Substantially Increased Burden of Atherosclerosis at Diagnosis of Rheumatoid Arthritis?
- Inflammation May Cause Myocardial Disease Directly, Leading to Heart Failure
- Emergence of Rheumatoid Arthritis Disease Activity as Key Predictor and Target for Prevention of Cardiovascular Disease Risk
- SUMMARY
- REFERENCES
- Gaps in Aging Research as it Applies to Rheumatologic Clinical Care
- Key points
- GAPS/CHALLENGES IN CURRENT GERIATRIC RHEUMATOLOGY CLINICAL CARE
- Gaps in Understanding of the Biology of Aging
- Adaptation to stress
- Epigenetics
- Inflammation or inflammaging
- Macromolecular damage/oxidative stress injury
- Metabolic pathways
- Proteostasis
- Stem cell regeneration
- Gaps in Assessment and Outcome Measurement
- Prognostication, goal setting, and time horizons in older adults
- Patient-reported outcomes in older adults
- Gaps in Managing/Treating Older Adults with Rheumatologic Conditions
- Multimorbidity and polypharmacy
- Individualized interdisciplinary management
- Immunizations
- BRIDGING THE GAP: A CALL TO ACTION
- REFERENCES
- Update on Crystal-Induced Arthritides
- Key points
- INTRODUCTION
- GOUT PRESENTATION IN THE GERIATRIC POPULATION CAN DIFFER FROM CLASSIC GOUT SEEN IN MIDDLE-AGED MEN
- TREATMENT OF GOUT
- MANAGEMENT OF ACUTE GOUT ATTACKS
- PROPHYLACTIC ANTIINFLAMMATORY THERAPY FOR PATIENTS WITH GOUT
- URATE-LOWERING THERAPY
- SUMMARY
- REFERENCES
- Index
