A case of super elderly-onset rheumatoid arthritis

Abstract

Super elderly-onset rheumatoid arthritis（RA）is difficult to treat because of aging and complications. We herein report a case of super elderly-onset RA: 91-year-old female with RA. She came to our hospital with pain and swelling of the bilateral wrists，pain of the bilateral shoulder and knee joints, and difficulty in walking. Her anti-CCP antibody and rheumatoid factor were positive. She was diagnosed with RA and had been treated with bDMARDs. Her symptoms were once relieved, however, flared up after 6-month treatment. Also, J-HAQ, in this case, showed little improvement after the treatment. The treatment goal in super elderly-onset RA patients should be considered separately from non-elderly.