印度北部一家三级转诊医院的小儿葡萄膜炎发病模式。
Pattern of Pediatric Uveitis at a Tertiary Referral Institute in North India.
机构信息
a Department of Ophthalmology, Advanced Eye Center , Post Graduate Institute of Medical Education and Research , Chandigarh , India.
b Stanley M. Truhlsen Eye Institute, University of Nebraska Medical Center , Omaha , Nebraska , USA.
出版信息
Ocul Immunol Inflamm. 2018;26(3):379-385. doi: 10.1080/09273948.2016.1239745. Epub 2016 Oct 21.
PURPOSE
To report the pattern of pediatric uveitis in a tertiary care referral center in North India.
METHODS
In a retrospective study, records of pediatric uveitis cases presenting at our center between 1996 and 2015 were reviewed for demographic data, anatomic distribution, and diagnosis.
RESULTS
Out of 9600 patients with uveitis, 369 children (3.84%; age ≤16 years; males: 54.20%) were included in the study. Anterior uveitis was the commonest presentation (n = 158; 42.81%), followed by posterior uveitis (n = 102; 27.64%). Uveitis was bilateral in 57.18% (n = 211). Infective etiology was seen in 99 children, of which tuberculosis was the commonest cause (n = 55; 14.91%). Among non-infectious etiologies, juvenile idiopathic arthritis (JIA) was the commonest cause (n = 59; 15.99%).
CONCLUSIONS
While anterior uveitis is the commonest uveitis in children, our cohort reported a high number of posterior uveitis cases compared to previous studies. Tuberculosis and JIA were the commonest causes of pediatric uveitis.
目的
报告印度北部一家三级转诊中心儿科葡萄膜炎的发病模式。
方法
在一项回顾性研究中，对我院 1996 年至 2015 年间就诊的儿科葡萄膜炎病例的记录进行了回顾，以获取人口统计学数据、解剖分布和诊断。
结果
在 9600 例葡萄膜炎患者中，有 369 例儿童（3.84%；年龄≤16 岁；男性：54.20%）纳入本研究。前葡萄膜炎是最常见的表现（n = 158；42.81%），其次是后葡萄膜炎（n = 102；27.64%）。57.18%（n = 211）的患者为双侧葡萄膜炎。99 例为感染性病因，其中结核病最常见（n = 55；14.91%）。在非感染性病因中，幼年特发性关节炎（JIA）最常见（n = 59；15.99%）。
结论
虽然前葡萄膜炎是儿童中最常见的葡萄膜炎，但与之前的研究相比，我们的队列报告了更多的后葡萄膜炎病例。结核病和 JIA 是儿科葡萄膜炎的常见病因。
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