scholarly journals Clinical and Radiological Presentations of Late-Onset Spondyloarthritis

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Ihsane Hmamouchi ◽  
Rachid Bahiri ◽  
Najia Hajjaj-Hassouni

The last few years have witnessed considerable progress in the diagnosis and treatment of spondyloarthritis (SpA). Tools are now available for establishing the diagnosis at an early stage, when appropriate treatment may be able to control the inflammatory process, limit the functional impairments, and improve quality of life. Late-onset SpA after the age of 50 years is uncommon. All the spondyloarthritis subgroups are represented in the elderly. Thus, late onset spondyloarthritis is underdiagnosed in favour of other inflammatory disorders that are more frequently observed in the elderly because the clinical or radiological presentations of late-onset spondyloarthritis are modified in the elderly. They deserve further attention because age population is increasing and new criteria for axial SpA including sacroiliitis detected by MRI may help the clinician with diagnosis. Specific studies evaluating the benefit/risk ratio of TNFα-blocking agents in late onset SpA patients are required.

2018 ◽  
Vol 45 (1-2) ◽  
pp. 91-104 ◽  
Author(s):  
Lara Hvidsten ◽  
Knut Engedal ◽  
Geir Selbæk ◽  
Torgeir Bruun Wyller ◽  
Frøydis Bruvik ◽  
...  

Aims: The aims of this study were to compare quality of life (QOL) in people with young-onset Alzheimer’s (AD) and frontotemporal (FTD) dementia, explore variables associated with QOL, and compare QOL in young-onset dementia (YOD) and late-onset dementia (LOD). Methods: Cross-sectional data from a Nordic multicenter study of 50 community-dwelling participants with AD and 38 with FTD were included. A comparison group consisted of 100 people with LOD. QOL was measured using self-reported Euro-QOL 5-Dimension and the proxy version of Quality of Life in Alzheimer’s Disease (QOL-AD) questionnaire. Neuropsychiatric symptoms and needs were assessed using the Cornell Scale for Depression in Dementia (CSDD), Neuropsychiatric Inventory (NPI), and Camberwell Assessment of Needs in the Elderly. Multiple linear regression and multilevel modeling was used to determine variables associated with QOL. Results: We found no differences between the two YOD groups in QOL. The variables associated with QOL were scores on the CSDD, NPI, and unmet needs. The proxy QOL-AD score in YOD was significantly higher compared to LOD (median 36.0 [IQR 10.0] vs. 33.0 [IQR 9.0]). Conclusion: The QOL in Nordic people with YOD was better compared to people with LOD. Our results show depressive symptoms to be associated with QOL irrespective of age and diagnosis.


2003 ◽  
Vol 55 (2) ◽  
pp. 167
Author(s):  
MR Kuthuru ◽  
AI Kabbara ◽  
J Weiss ◽  
SK Rosenberg ◽  
MV Boswell

2020 ◽  
pp. 1-8
Author(s):  
Camila Rocha de Oliveira ◽  
Ellen Fernanda Klinger ◽  
Daniely de Sousa Prado ◽  
Larisse Aires Moreira

Alzheimer’s disease is the most common dementia among the elderly, but unfortunately, the early symptoms are mistaken for natural aspects of age. Thus, knowledge is an excellent tool to get a diagnosis still in the early stage. Aims: Therefore, this article addresses the psychological reactions of family caregivers of individuals with that disorder and coping conditions experienced by them. Methods: To this end, an exploratory descriptive study of qualitative approach with semi-structured interviews with primary caregivers of individuals with Alzheimer took place, and some of the participants were appointed by indicated Regional Tocantinense Association Brasilian Alzheimer’s - ABRAZ, not exceeding the expected number, the researchers received help in the indication of caregivers who were already part of this research. Results: Regarding the coping conditions, there was family resilience, some resorted even psychological aid, since the change in routine was essential for the welfare of the elderly. Five respondents knew little about the disease before diagnosis, however, they began to delve into the matter with a view to aid in the treatment. Thus the knowledge acquired over time only came to add, thereby contributing to an improvement in the quality of life in both parties. Conclusion: The look of psychology facing the coping experienced by caregivers of individuals with Alzheimer’s is of paramount importance, as well as knowledge of caregivers about the disease, although acquired over time, contributed to an improvement in the quality of life of both parties.


2013 ◽  
Vol 01 (03) ◽  
pp. 144-151 ◽  
Author(s):  
Opinder Singh ◽  
Neeraj Mittal ◽  
Rishi Saini ◽  
◽  

AbstractSaliva is known as the mirror of the body. It is not only essential for retention of removable prosthesis but also protects the oral mucosa from injury by its lubricating effect. Xerostomia or hyposalivation is a commonly encountered condition especially among the elderly that needs to be treated to improve quality of life in denture wearers. This article reviews the various etiologic factors and treatment modalities in patients with xerostomia.


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