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风湿性疾病患者的眼部疾病

Ocular diseases in patients with rheumatic diseases.

作者信息

Ausayakhun Somsanguan, Louthrenoo Worawit, Aupapong Soontaree

机构信息

Department of Ophthalmology, Faculty of Medicine, Chiang Mai University, Thailand.

出版信息

J Med Assoc Thai. 2002 Aug;85(8):855-62.

Abstract

To study the distribution of ocular involvement among persons with rheumatic disease, a cross-sectional survey was performed in 224 patients attending the Division of Rheumatology, Department of Medicine, Maharaj Nakorn Chiang Mai Hospital. Of these patients, 102 presented with rheumatoid arthritis, 74 systemic lupus erythematosus, 39 systemic sclerosis, 6 mixed connective tissue disease, 2 polymyositis and 1 juvenile rheumatoid arthritis. It was found that the ocular involvement probably related to diseases including dry eye (19.9%) and uveitis (0.4%). The ocular involvement was presumably related to treatment including retinopathy (7.6%), cataract (6.3%), and glaucoma (0.9%). Rapid recognition of these complications would lead to early and appropriate management, which would prevent their sequelae.

摘要

为研究风湿性疾病患者眼部受累情况的分布,对清迈玛哈叻那空医院内科风湿病科就诊的224例患者进行了一项横断面调查。这些患者中,102例患有类风湿关节炎,74例患有系统性红斑狼疮,39例患有系统性硬化症,6例患有混合性结缔组织病,2例患有多发性肌炎,1例患有青少年类风湿关节炎。研究发现,眼部受累可能与多种疾病有关,包括干眼症(19.9%)和葡萄膜炎(0.4%)。眼部受累可能与治疗有关,包括视网膜病变(7.6%)、白内障(6.3%)和青光眼(0.9%)。快速识别这些并发症将有助于早期进行适当的治疗,从而预防其后遗症。

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