Department of Ophthalmology, St. Franziskus Hospital, Hohenzollernring 74, 48145 Muenster, Germany.
Rheumatol Int. 2012 May;32(5):1121-33. doi: 10.1007/s00296-011-2126-1. Epub 2011 Nov 15.
Uveitis in juvenile idiopathic arthritis (JIA) is frequently associated with the development of complications and visual loss. Topical corticosteroids are the first-choice therapy, and immunosuppression is commonly used. However, treatment has not been standardized. Representatives from the German Ophthalmological Society, Society for Childhood and Adolescent Rheumatology, and the German Society for Rheumatology reached consensus on a standardized treatment strategy according to disease severity in the individual patient. The recommendations were based on a systematic literature analysis in MEDLINE and consensus expert meetings. Evidence and recommendations were graded, and an algorithm for anti-inflammatory treatment and final statements confirmed in a Delphi method. An interdisciplinary, evidence-based treatment guideline for JIA uveitis is presented.
幼年特发性关节炎(JIA)相关葡萄膜炎常伴有并发症和视力丧失。局部皮质类固醇是首选治疗方法,通常采用免疫抑制治疗。然而,目前还没有标准化的治疗方案。德国眼科协会、儿童和青少年风湿病学会以及德国风湿病学会的代表根据患者个体疾病的严重程度,就标准化治疗策略达成共识。这些建议是基于对 MEDLINE 的系统文献分析和共识专家会议得出的。证据和建议进行了分级,并在德尔菲法中对抗炎治疗算法和最终声明进行了确认。本文呈现了一个针对幼年特发性关节炎相关葡萄膜炎的跨学科、基于证据的治疗指南。