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转诊至西班牙北部一个多学科单位的葡萄膜炎患者概况。

Profile of patients with uveitis referred to a multidisciplinary unit in northern Spain.

作者信息

Fanlo P, Heras H, Pérez D, Tiberio G, Espinosa G, Adan A

机构信息

Unidad de Enfermedades Autoinmunes Sistémicas, Servicio de Medicina Interna, Complejo Hospitalario de Navarra-B, Pamplona, Navarra, España.

Servicio de Oftalmología, Complejo Hospitalario de Navarra-B, Pamplona, Navarra, España.

出版信息

Arch Soc Esp Oftalmol. 2017 May;92(5):202-209. doi: 10.1016/j.oftal.2016.10.023. Epub 2016 Dec 7.

Abstract

OBJECTIVE

To describe the main characteristics of a cohort of patients with uveitis referred to a multidisciplinary unit in northern Spain.

MATERIAL AND METHODS

Retrospective analysis of clinical records of patients evaluated in the Multidisciplinary Unit of the Navarra Hospital Complex from the period January 2010 until March 2015. An analysis was performed on the demographic characteristics, origin, types of uveitis, laterality, and aetiology. The present series was also compared with 2 previous series from Castilla y León and Barcelona.

RESULTS

A total of 500 patients were identified, with a mean age of 47.9±16.4 years, with 50% women. The most frequent type of uveitis was anterior uveitis (65.4%), followed by posterior uveitis (17.6%), panuveitis (15.2%), and intermediate uveitis (1.8%). The origin was unclassifiable in 31.2%, followed by non-infectious systemic disease in 29.2%. Ankylosing spondylitis was the most frequent cause in 10.8% of patients, followed by herpes infection in 9.2%, and toxoplasmosis in 7.8%, respectively. Compared with the 2other cohorts, the present cohort showed a higher proportion of unilateral anterior uveitis. Furthermore, the patients from the Navarra series had a higher prevalence of unilateral and idiopathic uveitis compared to the series from Barcelona.

CONCLUSIONS

The main characteristics of the present cohort of patients with uveitis are similar to those of patients from other regions of our country. Unilateral anterior uveitis and idiopathic uveitis were the most frequent in our series.

摘要

目的

描述转诊至西班牙北部一个多学科科室的葡萄膜炎患者队列的主要特征。

材料与方法

对2010年1月至2015年3月期间在纳瓦拉医院综合院区多学科科室接受评估的患者临床记录进行回顾性分析。对人口统计学特征、来源、葡萄膜炎类型、病变侧别和病因进行了分析。本系列还与之前来自卡斯蒂利亚-莱昂和巴塞罗那的两个系列进行了比较。

结果

共识别出500例患者,平均年龄47.9±16.4岁,女性占50%。最常见的葡萄膜炎类型是前葡萄膜炎(65.4%),其次是后葡萄膜炎(17.6%)、全葡萄膜炎(15.2%)和中间葡萄膜炎(1.8%)。31.2%的患者病因无法分类,其次是非感染性全身性疾病,占29.2%。强直性脊柱炎是10.8%患者中最常见的病因,其次是疱疹感染,占9.2%,弓形虫病占7.8%。与其他两个队列相比,本队列中单侧前葡萄膜炎的比例更高。此外,与巴塞罗那系列相比,纳瓦拉系列的患者单侧和特发性葡萄膜炎的患病率更高。

结论

本葡萄膜炎患者队列的主要特征与我国其他地区的患者相似。在我们的系列中,单侧前葡萄膜炎和特发性葡萄膜炎最为常见。

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