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强直性脊柱炎患者的葡萄膜炎。

Uveitis in Patients with Ankylosing Spondylitis.

机构信息

Department of Internal Medicine, Bir Hospital, National Academy of Medical Sciences.

Nepal Eye Hospital, Tripureshwor, Kathmandu, Nepal.

出版信息

J Nepal Health Res Counc. 2021 Apr 23;19(1):97-100. doi: 10.33314/jnhrc.v19i1.3365.

Abstract

BACKGROUND

There is a close correlation between ankylosing spondylitis and uveitis, other less common ocular manifestations being episcleritis and scleritis. Though the prognosis of uveitis is good, prompt treatment is required to prevent long-term complications. This study aimed to estimate the prevalence of uveitis in patients with ankylosing spondylitis who follow outpatient clinic of a tertiary care hospital.

METHODS

A descriptive cross-sectional study was done in medicine outpatient department of a tertiary care hospital for 6 months. Ethical clearance was obtained from the institutional review board of National Academy of Medical Sciences. Convenient sampling was done. The data collected were entered in Microsoft excel to tabulate the data and analyze the results.

RESULTS

Out of 81 participants, 26 patients had a history of uveitis (32%). Most of the patients in this study were of 18-30 years. Uveitis was most common in patients with both axial and peripheral disease (41%) compared to those with just peripheral disease (32%). Uveitis was more common among males (32.2%) than females (31.5%).

CONCLUSION

In patients with spondyloarthritis uveitis was present in 32% of the patient with more common in patient with both axial and peripheral arthritis. Timely diagnosis of uveitis in ankylosing spondylitis can prevent the sequelae with prompt treatment.

摘要

背景

强直性脊柱炎与虹膜炎密切相关,其他不太常见的眼部表现为表层巩膜炎和巩膜炎。虽然虹膜炎的预后良好,但需要及时治疗以预防长期并发症。本研究旨在评估在一家三级医院的门诊就诊的强直性脊柱炎患者中虹膜炎的患病率。

方法

在一家三级医院的内科门诊进行了为期 6 个月的描述性横断面研究。机构审查委员会已从国家医学科学院获得了伦理批准。采用方便抽样法。收集的数据输入 Microsoft excel 进行制表和分析结果。

结果

在 81 名参与者中,有 26 名(32%)有虹膜炎病史。本研究中的大多数患者年龄在 18-30 岁之间。与仅患有外周疾病的患者(32%)相比,同时患有轴向和外周疾病的患者(41%)中虹膜炎更为常见。男性(32.2%)比女性(31.5%)更常见患有虹膜炎。

结论

在患有脊柱关节炎的患者中,32%的患者存在虹膜炎,同时患有轴向和外周关节炎的患者中更为常见。及时诊断强直性脊柱炎中的虹膜炎并及时治疗可以预防其后遗症。

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