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与幼年特发性关节炎相关的葡萄膜炎

Uveitis Associated with Juvenile Idiopathic Arthritis.

作者信息

van Meerwijk Charlotte, Kuiper Jonas, van Straalen Joeri, Ayuso Viera Kalinina, Wennink Roos, Haasnoot Anne-Mieke, Kouwenberg Carlijn, de Boer Joke

机构信息

Department of Ophthalmology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.

Department of Ophthalmology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.

出版信息

Ocul Immunol Inflamm. 2023 Dec;31(10):1906-1914. doi: 10.1080/09273948.2023.2278060. Epub 2023 Dec 14.

Abstract

Juvenile idiopathic arthritis (JIA) is the most common cause of uveitis in children. While symptoms are usually mild, persistent eye inflammation could lead to severe complications and impaired vision. It is essential that JIA patients at risk are diagnosed with uveitis early, receive adequate treatment, and avoid developing complications, such as cataract, glaucoma, and amblyopia. The purpose of this mini-review is to summarize the screening strategies and clinical management for JIA-associated uveitis (JIA-U) as well as the current state of molecular markers linked to this condition. Because glaucoma is one of the most common causes of visual loss in JIA-U, special focus will be put on this serious complication. We conclude by describing the current evidence regarding the long-standing question of whether chronic anterior uveitis without arthritis may be the same disease entity as JIA-U.

摘要

幼年特发性关节炎(JIA)是儿童葡萄膜炎最常见的病因。虽然症状通常较轻,但持续性眼部炎症可能导致严重并发症和视力受损。对于有风险的JIA患者,早期诊断葡萄膜炎、接受充分治疗并避免出现白内障、青光眼和弱视等并发症至关重要。本综述的目的是总结JIA相关性葡萄膜炎(JIA-U)的筛查策略和临床管理以及与此病症相关的分子标志物的现状。由于青光眼是JIA-U中视力丧失的最常见原因之一,因此将特别关注这一严重并发症。我们通过描述关于无关节炎的慢性前葡萄膜炎是否可能与JIA-U为同一疾病实体这一长期问题的现有证据来得出结论。

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