Abstract：
UNASSIGNED: Vasculitides are a heterogeneous group of disorders producing inflammation of blood vessels (e.g. arteries or veins). All major vasculitides potentially have ophthalmological symptoms and signs including visual loss. Co-morbidity, multimorbidity, polypharmacy, and geriatric syndromes all play important roles in patient outcomes for these rheumatic conditions in the elderly. This monograph reviews the NCBI PubMed database (Feb 2023) literature on the neuro-ophthalmic and geriatric considerations in vasculitis.
UNASSIGNED: Cogan Syndrome, Granulomatosis with Polyangiitis, Giant Cell Arteritis, Polyarteritis Nodosa, Takayasu Arteritis, Vasculitis epidemiology, and neuro-ophthalmological symptoms.
UNASSIGNED: Geriatric patient care for vasculitis with neuro-ophthalmological manifestations can be complicated by the interplay of multiple co-morbidities, polypharmacy, and specific geriatric syndromes. The valuation and treatment of vasculitis and the complications associated with the disease can negatively impact patient care. Advances in noninvasive imaging and updates in diagnostic criteria have enabled increased identification of patients at earlier stages with less severe disease burden. Novel therapeutic agents can be glucocorticoid sparing and might reduce the adverse effects of chronic steroid use. Holistic care models like the 5 M geriatric care model (mind, mobility, medications, multicomplexity, and matters most) allow patients\' needs to be in the forefront with biopsychosocial aspects of a patient being addressed.
UNASSIGNED: Cogan Syndrome, Granulomatosis with Polyangiitis, Giant Cell Arteritis, Polyarteritis Nodosa, Takayasu Arteritis, Vasculitis epidemiology, and neuro-ophthalmological symptoms.
UNASSIGNED: Geriatric patient care for vasculitis with neuro-ophthalmological manifestations can be complicated by the interplay of multiple co-morbidities, polypharmacy, and specific geriatric syndromes. The valuation and treatment of vasculitis and the complications associated with the disease can negatively impact patient care. Advances in noninvasive imaging and updates in diagnostic criteria have enabled increased identification of patients at earlier stages with less severe disease burden. Novel therapeutic agents can be glucocorticoid sparing and might reduce the adverse effects of chronic steroid use. Holistic care models like the 5 M geriatric care model (mind, mobility, medications, multicomplexity, and matters most) allow patients\' needs to be in the forefront with biopsychosocial aspects of a patient being addressed.
摘要：
■血管炎是引起血管(例如动脉或静脉)炎症的一组异质性病症。所有主要血管炎都可能具有眼科症状和体征，包括视力丧失。共病,多浊度,多药和老年综合征都在老年人风湿性疾病的患者预后中起重要作用。本专著回顾了NCBIPubMed数据库（2023年2月）中有关血管炎的神经眼科和老年考虑因素的文献。
■科根综合征，肉芽肿性多血管炎,巨细胞动脉炎,结节性多动脉炎,Takayasu动脉炎,血管炎流行病学,神经眼科症状。
■患有神经眼科表现的血管炎的老年患者护理可因多种合并症的相互作用而复杂化。多药，和特定的老年综合征。血管炎的评估和治疗以及与该疾病相关的并发症可能会对患者护理产生负面影响。非侵入性成像的进展和诊断标准的更新使得在疾病负担较不严重的早期阶段增加了对患者的识别。新型治疗剂可以保留糖皮质激素，并可能减少长期使用类固醇的不良反应。整体护理模式，如5M老年护理模式(注意，移动性,药物,多重复杂性，并且最重要）允许患者在解决患者的生物心理社会方面处于最前沿。
■科根综合征，肉芽肿性多血管炎,巨细胞动脉炎,结节性多动脉炎,Takayasu动脉炎,血管炎流行病学,神经眼科症状。
■患有神经眼科表现的血管炎的老年患者护理可因多种合并症的相互作用而复杂化。多药，和特定的老年综合征。血管炎的评估和治疗以及与该疾病相关的并发症可能会对患者护理产生负面影响。非侵入性成像的进展和诊断标准的更新使得在疾病负担较不严重的早期阶段增加了对患者的识别。新型治疗剂可以保留糖皮质激素，并可能减少长期使用类固醇的不良反应。整体护理模式，如5M老年护理模式(注意，移动性,药物,多重复杂性，并且最重要）允许患者在解决患者的生物心理社会方面处于最前沿。
