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© 1973 Oxford University Press

research-article

ACUTE ARTHRITIS IN THE ELDERLY

T. GIBSON and R. GRAHAME

Department of Rheumatology, Guy's Hospital London

The causes of acute arthritis in 59 subjects aged 70 years or more were investigated. Diagnosis was possible in 44 patients but in 15 cases it was not possible to attribute the arthritis to a single disease despite detailed investigation. The most common diagnosis was sero-positive rheumatoid arthritis occurring in 14 (24 per cent) of patients. Comparison with a matched group of younger patients with sero-positive rheumatoid arthritis revealed no major differences. The diagnostic problems encountered in elderly patients are discussed. Although diagnosis proved elusive in so many cases there was insufficient evidence to support the contention that senile monoarticular arthritis exists as a diagnostic entity.


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