UVEITIS & COMPLICATIONS IN PATIENTS W/RHEUMATIC DISEASE IN MEXICO CITY

[Guest guest]

UVEITIS AND COMPLICATIONS IN PATIENTS WITH RHEUMATIC DISEASE AT A TERTIARY

REFERRAL CENTRE IN MEXICO CITY.

http://www.jrheum.com/subscribers/06/02/m41-60.html

Fernández-Arrieta G1, Ríos R2, Ake-Uc M1, Barile-Fabris L, Jiménez-Balderas

FJ1 , Fraga-Mouret A1. Department of Rheumatology1 and Ophthalmology2.

Hospital de Especialidades, Centro Médico Nacional Siglo XXI. Mexico City.

Introduction: Uveitis, inflammation of the uveal tract of the eye including

iris, ciliary body and choroid, accounts 19-56% of inflammatory systemic

disease and 10% will have severe visual loss.

Purpose: To describe clinic characteristic in consecutive patients with

rheumatic disease and uveitis.

Methods: Between june-august 2005 we selectioned patients, who have had

diagnostic of uveitis, among 1321 consecutive patients with rheumatic

disease (5 relapsing polychondritis, 11 Behcet disease, 93 seronegative

spondyloarthropathies, 6 polyarteritis nodosa, 590 rheumatoid arthritis, 600

Systemic lupus erythematosus,16 Wegener's Granulomatosis) Date including

age, sex, anatomic location of uveitis, patients with rheumatic disease

beginning with uveitis, number of recurrences, season at presentation and

ocular complications of uveitis.

Analysis: descriptive.

Results: There were 56 cases of uveitis in 1321 patients with rheumatic

disease (4%), mean age was 47 years, 37 males, 18 females. The most

common form of uveitis was anterior non-granulomatous (82%).

All patients with relapsing polychondritis had uveitis. 41 (93%) cases were

associated with spondyloarthropathies.

Uveitis preceding diagnosis of rheumatic disease in 32 patients (57%), mean

10 years, range 1-27. 16 (22%) cases with complications were noted in 76

eyes with uveitis including: cataract, glaucoma, retinal detachment and

synechiae. Three patients become blind. There were no cases of uveitis in

systemic lupus erythematosus and Wegener's Granulomatosis. Rheumatic disease

activity was not associated with recurrence of uveitis.

Comments: Uveitis in rheumatic patients at Mexico City has higher frequency

in male, with predominance of form non-granulomatous and it is commonly

associated with relapsing polychondritis and spondyloarthropathies.

Rheumatic

disease was preceded frequently by uveitis with higher recurrence in winter.

[Guest guest]

" Rheumatic disease was preceded frequently by uveitis with higher

recurrence in winter "

Really? I never knew that!

Guess it makes sense, since JIA is often triggered by a cold or flu,

which are also more prevalent in the colder seasons.

Well there you go,

Jo

Bayly, 3, extended oligo

>

> UVEITIS AND COMPLICATIONS IN PATIENTS WITH RHEUMATIC DISEASE AT A

TERTIARY

> REFERRAL CENTRE IN MEXICO CITY.

>

> http://www.jrheum.com/subscribers/06/02/m41-60.html

>

> Fernández-Arrieta G1, Ríos R2, Ake-Uc M1, Barile-Fabris L, Jiménez-

Balderas

> FJ1 , Fraga-Mouret A1. Department of Rheumatology1 and

Ophthalmology2.

> Hospital de Especialidades, Centro Médico Nacional Siglo XXI.

Mexico City.

>

> Introduction: Uveitis, inflammation of the uveal tract of the eye

including

> iris, ciliary body and choroid, accounts 19-56% of inflammatory

systemic

> disease and 10% will have severe visual loss.

>

> Purpose: To describe clinic characteristic in consecutive patients

with

> rheumatic disease and uveitis.

>

> Methods: Between june-august 2005 we selectioned patients, who

have had

> diagnostic of uveitis, among 1321 consecutive patients with

rheumatic

> disease (5 relapsing polychondritis, 11 Behcet disease, 93

seronegative

> spondyloarthropathies, 6 polyarteritis nodosa, 590 rheumatoid

arthritis, 600

> Systemic lupus erythematosus,16 Wegener's Granulomatosis) Date

including

> age, sex, anatomic location of uveitis, patients with rheumatic

disease

> beginning with uveitis, number of recurrences, season at

presentation and

> ocular complications of uveitis.

>

> Analysis: descriptive.

>

> Results: There were 56 cases of uveitis in 1321 patients with

rheumatic

> disease (4%), mean age was 47 years, 37 males, 18 females. The most

> common form of uveitis was anterior non-granulomatous (82%).

>

> All patients with relapsing polychondritis had uveitis. 41 (93%)

cases were

> associated with spondyloarthropathies.

>

> Uveitis preceding diagnosis of rheumatic disease in 32 patients

(57%), mean

> 10 years, range 1-27. 16 (22%) cases with complications were noted

in 76

> eyes with uveitis including: cataract, glaucoma, retinal

detachment and

> synechiae. Three patients become blind. There were no cases of

uveitis in

> systemic lupus erythematosus and Wegener's Granulomatosis.

Rheumatic disease

> activity was not associated with recurrence of uveitis.

>

> Comments: Uveitis in rheumatic patients at Mexico City has higher

frequency

> in male, with predominance of form non-granulomatous and it is

commonly

> associated with relapsing polychondritis and spondyloarthropathies.

> Rheumatic

> disease was preceded frequently by uveitis with higher recurrence

in winter.

>