Chen Judy L, Abiri Parinaz, Tsui Edmund
Stein Eye Institute, Department of Ophthalmology, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Ther Adv Ophthalmol. 2021 Feb 18;13:2515841420984572. doi: 10.1177/2515841420984572. eCollection 2021 Jan-Dec.
Juvenile idiopathic arthritis-associated uveitis has an estimated prevalence of 10-20% in patients with juvenile idiopathic arthritis, making it the most common cause of chronic anterior uveitis in children. Prompt treatment is important to prevent development of ocular complications and permanent vision loss. In this review, we will discuss the use of immunosuppression in treatment of juvenile idiopathic arthritis-associated uveitis. This will include the use of conventional immunosuppressants, such as methotrexate, biologic anti-tumor necrosis factor agents, such as adalimumab, as well as other anti-tumor necrosis factor agents, including infliximab and golimumab. In addition, we will discuss medications currently in clinical trials or under consideration for juvenile idiopathic arthritis-associated uveitis, including interleukin-6 inhibitors (tocilizumab) and Janus kinase inhibitors (tofacitinib, baricitinib).
幼年特发性关节炎相关葡萄膜炎在幼年特发性关节炎患者中的估计患病率为10%至20%,这使其成为儿童慢性前葡萄膜炎最常见的病因。及时治疗对于预防眼部并发症的发生和永久性视力丧失很重要。在本综述中,我们将讨论免疫抑制在幼年特发性关节炎相关葡萄膜炎治疗中的应用。这将包括使用传统免疫抑制剂,如甲氨蝶呤;生物抗肿瘤坏死因子药物,如阿达木单抗;以及其他抗肿瘤坏死因子药物,包括英夫利昔单抗和戈利木单抗。此外,我们还将讨论目前正在进行临床试验或正在考虑用于幼年特发性关节炎相关葡萄膜炎的药物,包括白细胞介素-6抑制剂(托珠单抗)和Janus激酶抑制剂(托法替布、巴瑞替尼)。