Lambert J R, Wright V
Ann Rheum Dis. 1976 Aug;35(4):354-6. doi: 10.1136/ard.35.4.354.
In a study of 112 patients (49 men, 63 women) with psoriatic arthritis, ocular inflammation was noted in 35 (31.2%). Conjunctivitis was the most common lesion, being found in 19.6% (10 males, 12 females). Iritis occurred in 7.1% (5 men, 3 women), episcleritis in 1.8% (1 man, 1 woman), and keratoconjunctivitis sicca in 2.7% (3 women). 20 patients (10 men, 10 women) had radiological sacroiliitis and 11 of these (7 men, 4 women) had ankylosing spondylitis according to the New York criteria. Eye lesions were noted in 7 of the patients with sacroiliitis, 3 having iritis (15%) and 4 (20%) conjunctivitis. 2 patients with spondylitis had iritis (18%) and 1 (9%) conjunctivitis. It is concluded that inflammatory eye lesions are a frequent accompaniment to psoriatic arthritis. This is taken as further evidence for the concept of the seronegative spondyloarthritides.
在一项针对112例银屑病关节炎患者(49例男性,63例女性)的研究中,35例(31.2%)出现眼部炎症。结膜炎是最常见的病变,发生率为19.6%(10例男性,12例女性)。虹膜炎发生率为7.1%(5例男性,3例女性),巩膜炎为1.8%(1例男性,1例女性),干燥性角结膜炎为2.7%(3例女性)。20例患者(10例男性,10例女性)有骶髂关节炎放射学表现,其中11例(7例男性,4例女性)根据纽约标准诊断为强直性脊柱炎。骶髂关节炎患者中有7例出现眼部病变,3例有虹膜炎(15%),4例(20%)有结膜炎。2例脊柱炎患者有虹膜炎(18%),1例(9%)有结膜炎。结论是,炎症性眼部病变是银屑病关节炎常见的伴随症状。这被视为支持血清阴性脊柱关节病概念的进一步证据。