Recent Clinical Features of Intraocular Inflammation in Hokkaido, Japan - Comparison with the Previous Decade -

Recent Clinical Features of Intraocular Inflammation in Hokkaido, Japan - Comparison with the Previous Decade -
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日本北海道眼内炎症的最新临床特征 - 与过去十年的比较 -

DOI:
10.1080/09273948.2020.1836565
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发表时间:
2021
影响因子:
3.3
通讯作者:
Ishida Susumu
Ishida Susumu
中科院分区:
医学4区
文献类型:
--
作者:
Iwata Daiju;Namba Kenichi;Yamamoto Taku;Mizuuchi Kazuomi;Saito Wataru;Ohno Shigeaki;Kitaichi Nobuyoshi;Ishida Susumu

文献摘要

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目的本研究旨在调查北海道眼内炎症(葡萄膜炎)的临床特征,并与我们以前的调查结果进行比较,评估其病因学趋势。方法我们回顾性分析了1,616例新转诊的葡萄膜炎患者的病历2004 - 2014年北海道大学附属医院共1,020名女性和596名男性患者。结果结节病是最常见的病因其次是Vogt-Koyanagi-Harada病(8.1%)、Behçet病(4.5%)和人类白细胞抗原B27相关性葡萄膜炎(2.5%)。48.7%的患者病因不明。与1994年至2003年的上次调查相比,白塞病的发病率下降,结节病的发病率上升。感染性葡萄膜炎和玻璃体视网膜淋巴瘤的发病率上升。结论虽然两次调查中前四位病因的顺序相同,但结节病的发病率上升,白塞病的发病率下降。
PurposeThis study aimed to investigate the clinical features of intraocular inflammation (uveitis) in Hokkaido and to assess the etiology trends in comparison with those of our previous survey.MethodsWe retrospectively reviewed the medical records of 1,616 new referral uveitis patients (1,020 females and 596 males) in Hokkaido University Hospital between 2004 and 2014.ResultsSarcoidosis was the most frequent etiology (17.4%), followed by Vogt–Koyanagi–Harada disease (8.1%), Behçet’s disease (4.5%), and human leukocyte antigen B27 -associated uveitis (2.5%). The etiologies in 48.7% of the patients were unclassified. Compared to the previous survey between 1994 and 2003, the rate of Behçet’s disease decreased and that of sarcoidosis increased. The rates of infectious uveitis and vitreoretinal lymphoma increased.ConclusionAlthough the order of the top four etiologies was the same in the two surveys, the rate of sarcoidosis increased and that of Behçet’s disease decreased.