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December 22, 1956


Author Affiliations


From the University of Buffalo School of Medicine and Buffalo General Hospital.

JAMA. 1956;162(17):1514-1517. doi:10.1001/jama.1956.02970340004002

• Because of the many types of arthritis occurring in persons over 60 years of age, therapy must be based on an individual plan suited to that particular person. If the first arthritic attack is severe and in one of the peripheral joints, gouty arthritis should be considered. Here colchicine may be used not only for the initial episode but also in combination with probenecid during the intercritical period. Osteoarthritis, the most common type of arthritis in patients over 60 years of age, may be generally treated with posture exercises, weight control, heat, and aspirin, in addition to individual care. A different form of rheumatoid arthritis may suddenly appear after the age of 60. This condition requires complete bed rest until all activity of the disease ceases. While heat, salicylates, and steroids give relief, gold therapy best seems to stop the progress of the disease. Other forms of arthritic involvement may occur, but, in general, there is a good prognosis for all these conditions.