Panova I E, Varnavskaya N G, Samkovich E V
Saint Petersburg branch of S. Fyodorov Eye Microsurgery Federal State Institution, 21 Yaroslava Gasheka St., Saint Petersburg, Russian Federation, 192283.
Chelyabinsk Regional Clinical Antituberculous Dispensary, Chair of Ophthalmology of the South Ural State Medical University, 38 Vorovskogo St., Chelyabinsk, Russian Federation, 454020.
Vestn Oftalmol. 2018;134(5):32-38. doi: 10.17116/oftalma201813405132.
Eye lesion in sarcoidosis is often the first and only sign of a disorder, which suggests a possible systemic disease. Currently sarcoidosis is considered a multisystemic granulomatous disease that requires multidisciplinary approach.
To study the prevalence and clinical aspects of sarcoidosis eyes based on the representative sample of patients diagnosed with extraocular nonspecific granulomatous disease.
The study included 417 patients with multi-organ sarcoidosis. Females prevailed in the study population (259 patients - 62.11%); average patient age was 43.5±3.5 years.
Patients with systemic signs of sarcoidosis had an eye lesion in 7.7% of cases. Females (71.87%) at the age of 48.5±2.5 were diagnosed with sarcoidosis more often. Among the clinical forms of sarcoidosic eye lesion, anterior uveitis prevailed (59.37%), affection of the posterior uveal tract was observed less often (31.25%); the disease had chronically recurrent course in 53.12% of patients. Among rare disease forms, orbital granuloma was found in two patients, and one patient had sarcoidosis of the skin of the medial angle of the eye.
Analysis of the clinical material revealed the occurrence rate of eye lesion in patients with systemic manifestations of sarcoidosis, and gave insight on the polymorphism of clinical signs of organ lesion in multiorgan and isolated granulomatous inflammation.
结节病中的眼部病变通常是该疾病的首个也是唯一症状,这提示可能存在全身性疾病。目前,结节病被认为是一种需要多学科方法治疗的多系统肉芽肿性疾病。
基于被诊断为眼外非特异性肉芽肿性疾病患者的代表性样本,研究结节病眼部病变的患病率及临床特征。
该研究纳入了417例多器官结节病患者。研究人群中女性居多(259例患者,占62.11%);患者平均年龄为43.5±3.5岁。
有结节病全身症状的患者中,7.7%出现眼部病变。48.5±2.5岁的女性(占71.87%)更常被诊断为结节病。在结节病眼部病变的临床类型中,前葡萄膜炎最为常见(占59.37%),后葡萄膜受累较少见(占31.25%);53.12%的患者疾病呈慢性复发病程。在罕见的疾病类型中,两名患者发现眼眶肉芽肿,一名患者患有眼角皮肤结节病。
对临床资料的分析揭示了结节病全身表现患者眼部病变的发生率,并深入了解了多器官和孤立性肉芽肿性炎症中器官病变临床体征的多态性。