Late-onset XXXX in the elderly after 65 years: retrospective study of 18 cases.

@entity1 @entity625 @entity1252 @entity5714 @entity715 @entity288
OBJECTIVE: The aim of our study was to investigate characteristics of late-onset @entity1252 after 65 years compared to younger ones. METHOD: @entity1 with @entity1252 revealed after 65 years were investigated in four French hospitals between 1985 and 2013. @entity1 with 4 ACR criteria or more were included. Clinical and biological characteristics, prognosis, treatment, comorbidities were described retrospectively and compared to the cohort of 1000 @entity1252 @entity1 of Cervera et al. RESULTS: Eighteen @entity1 were included (14 @entity1 and 4 @entity1 ). The most frequent features were @entity625 (13/18), skin involvement (9/18). @entity5714 and @entity715 were more frequently found in elderly @entity1252 (p<0.05). During evolution, only cutaneous involvement were less frequent than in young subjects (p <0.05). @entity288 were often used (16/18), but iatrogenic complications were frequent (10/16). CONCLUSION: Diagnosis is difficult because of non-specific clinical features. Treatment needed a rigourous follow-up because of iatrogenic complications.
