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协作性眼部结核病研究(COTS)-1:245例结核性葡萄膜炎患者脉络膜受累情况的多国描述

The Collaborative Ocular Tuberculosis Study (COTS)-1: A Multinational Description of the Spectrum of Choroidal Involvement in 245 Patients with Tubercular Uveitis.

作者信息

Agrawal Rupesh, Gunasekeran Dinesh Visva, Agarwal Aniruddha, Carreño Ester, Aggarwal Kanika, Gupta Bhaskar, Raje Dhananjay, Murthy Somasheila I, Westcott Mark, Chee Soon Phaik, McCluskey Peter, Ling Ho Su, Teoh Stephen, Cimino Luca, Biswas Jyotirmay, Narain Shishir, Agarwal Manisha, Mahendradas Padmamalini, Khairallah Moncef, Jones Nicholas, Tugal-Tutkun Ilknur, Babu Kalpana, Basu Soumayava, Lee Richard, Al-Dhibi Hassan, Bodaghi Bahram, Invernizzi Alessandro, Goldstein Debra A, Herbort Carl P, Barisani-Asenbauer Talin, González-López Julio J, Androudi Sofia, Bansal Reema, Moharana Bruttendu, Mahajan Sarakshi, Esposti Simona, Tasiopoulou Anastasia, Nadarajah Sengal, Agarwal Mamta, Abraham Sharanya, Vala Ruchi, Lord Joanne, Singh Ramandeep, Sharma Aman, Sharma Kusum, Zierhut Manfred, Kon Onn Min, Kempen John, Cunningham Emmett T, Rousselot Andres, Nguyen Quan Dong, Pavesio Carlos, Gupta Vishali

机构信息

Department of Medical retina and uveitis, Moorfields Eye Hospital, NHS Foundation Trust, London, UK.

Department of Ophthalmology, Singapore Eye Research Institute, Singapore.

出版信息

Ocul Immunol Inflamm. 2020 Sep 30;28(sup1):38-48. doi: 10.1080/09273948.2018.1489061. Epub 2018 Aug 29.

Abstract

: To contribute a global description of the spectrum of choroidal involvement in tubercular uveitis (TBU).: Retrospective cohort study of TBU patients with choroidal involvement from 25 centers between January 2004 and December 2014. Medical records of patients with a minimum follow-up of 1 year were reviewed.: 245 patients were included. The phenotypic variations included serpiginous-like choroiditis (SLC) (46%), tuberculoma (13.5%), multifocal choroiditis (MFC) (9.4%), ampiginous choroiditis (9%), among others. 219 patients were treated with anti-tubercular therapy (ATT) ( = 219/245, 89.38%), 229 patients with steroids ( = 229/245, 93.47%) and 28 patients with immunosuppressive agents ( = 28/245, 11.42%). Treatment failure was noted in 38 patients ( = 38/245, 15.5%). Patients with SLC and ampiginous choroiditis appeared to have superior outcomes on survival analysis ( = 0.06).: This study provides a comprehensive description of choroidal involvement in TBU. Patients with SLC and ampiginous choroiditis may have better clinical outcomes.

摘要

目的

对结核性葡萄膜炎(TBU)脉络膜受累情况进行全面描述。

方法

对2004年1月至2014年12月期间来自25个中心的伴有脉络膜受累的TBU患者进行回顾性队列研究。对随访至少1年的患者病历进行审查。

结果

纳入245例患者。表型变异包括匐行性脉络膜炎样(SLC)(46%)、结核瘤(13.5%)、多灶性脉络膜炎(MFC)(9.4%)、安比吉诺性脉络膜炎(9%)等。219例患者接受抗结核治疗(ATT)(219/245,89.38%),229例患者接受类固醇治疗(229/245,93.47%),28例患者接受免疫抑制剂治疗(28/245,11.42%)。38例患者出现治疗失败(38/245,15.5%)。生存分析显示,SLC和安比吉诺性脉络膜炎患者的预后似乎更好(P = 0.06)。

结论

本研究对TBU脉络膜受累情况进行了全面描述。SLC和安比吉诺性脉络膜炎患者可能具有更好的临床结局。

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