With the rapid population aging in China, the prevalence of rheumatic diseases in the elderly increases gradually. Compared with the young people, the incidence of osteoarthritis and polymyalgia rheumatica in the elderly people is higher. The clinical manifestations of rheumatoid arthritis, systemic erythematosus and spondyloarthropathy are different compared with the young patients. Individualized treatment strategy should be chosen based on the clinical characteristics and comorbidities in the elderly patients. Furthermore, adverse drug reaction should be emphasized specifically. This paper summarized the clinical features and therapeutic strategy of several common rheumatic diseases in elderly patients.