SCREENING FOR UVEITIS IN JUVENILE CHRONIC ARTHRITIS

SCREENING FOR UVEITIS IN JUVENILE CHRONIC ARTHRITIS
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DOI:
10.1136/bjo.73.3.225
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发表时间:
1989-03-01
影响因子:
4.1
通讯作者:
KANSKI, JJ
KANSKI, JJ
中科院分区:
医学2区
文献类型:
--
作者:
KANSKI, JJ

文献摘要

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对315例前葡萄膜炎合并幼年型慢性关节炎的患者进行了研究,以确定葡萄膜炎的各种危险因素。女孩比男孩更容易患葡萄膜炎,比例为3:1。在94%的病例中,葡萄膜炎是在关节炎发生后诊断出来的。患葡萄膜炎的风险很小,从关节炎开始到现在已经过去了七年或更长时间。少关节发病的JCA患者患葡萄膜炎的风险最高,全身性发病的患者风险最低。循环中抗核抗体的存在也是葡萄膜炎风险增加的重要标志。建议对患者进行常规筛查。
Three hundred and fifteen patients with anterior uveitis associated with juvenile chronic arthritis (JCA) were studied in order to identify the various risk factors for uveitis. Girls were more susceptible to uveitis than boys by a ratio of 3:1. In 94% of cases the uveitis was diagnosed after the development of arthritis. The risk of uveitis was small after seven or more years had elapsed from the onset of arthritis. Patients with pauciarticular onset JCA had the highest risk of uveitis and systemic onset patients the least risk. The presence of circulating antinuclear antibody was also an important marker for an increased risk of uveitis. A regimen for routine screening of patients is suggested.