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ISRN Rheumatology
Volume 2011 (2011), Article ID 840475, 7 pages
http://dx.doi.org/10.5402/2011/840475
Review Article

Clinical and Radiological Presentations of Late-Onset Spondyloarthritis

1Laboratory of Information and Research on Bone Diseases (LIRPOS), Department of Rheumatology, Faculty of Medicine and Pharmacy, El Ayachi Hospital, University Hospital of Rabat-Sale, University Mohammed V Souissi, Morocco
2Laboratory of Biostatistical, Clinical and Epidemiological Research (LBRCE), Faculty of Medicine and Pharmacy, University Mohammed V Souissi, Rabat, Morocco

Received 29 December 2010; Accepted 23 January 2011

Academic Editors: M. G. Danieli and G. Vargas-Alarcon

Copyright © 2011 Ihsane Hmamouchi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.