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狼疮性视网膜病变:流行病学和危险因素。

Lupus retinopathy: epidemiology and risk factors.

机构信息

Ophthalmology Department, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.

Rheumatology Department, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.

出版信息

Arq Bras Oftalmol. 2021 Jul-Aug;84(4):395-401. doi: 10.5935/0004-2749.20210076.

Abstract

Lupus retinopathy is a clinical manifestation of systemic lupus erythematosus in the visual system. It is generally asymptomatic; however, it can become a threatening condition. It is closely associated with the inflammatory activity and higher mortality of systemic lupus erythematosus. Lupus retinopathy has several different clinical presentations, such as lupus microangiopathy, vascular occlusion, vasculitis, hypertensive retinopathy associated with lupus nephritis, and autoimmune retinopathy. Although the prevalence and associated factors of lupus retinopathy have been well defined in some parts of the world, there are no data from Latin America, including Brazil. As lupus retinopathy is generally asymptomatic, without a routine fundoscopy, it has been probably underestimated. This review is intended to discuss the epidemiology and risk factors of lupus retinopathy.

摘要

狼疮性视网膜病变是系统性红斑狼疮在视觉系统中的一种临床表现。它通常没有症状,但可能成为一种威胁生命的疾病。它与系统性红斑狼疮的炎症活动和更高的死亡率密切相关。狼疮性视网膜病变有几种不同的临床表现,如狼疮性微血管病变、血管闭塞、血管炎、狼疮肾炎相关的高血压性视网膜病变和自身免疫性视网膜病变。尽管狼疮性视网膜病变的患病率和相关因素在世界上的一些地区已经得到了很好的定义,但拉丁美洲,包括巴西,没有相关数据。由于狼疮性视网膜病变通常没有症状,没有常规眼底检查,因此可能被低估了。本综述旨在讨论狼疮性视网膜病变的流行病学和危险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8492/11826623/5ad0d9950bfc/abo-84-04-0395-g01.jpg

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