Article: Uveitis, Evaluation and Treatment/eye condition of many disorders

[Guest guest]

Uveitis, Evaluation and Treatment http://www.emedicine.com/oph/topic581.htm

The lists below include some of the most common systemic findings in patients with uveitis.

Head/CNS

Headaches - VKH disease, sarcoidosis, Behçet

disease, tuberculosis, herpes zoster, large cell lymphoma,

polyarteritis nodosa (PAN), Cryptococcus meningitis, toxoplasmosis, Lyme disease

Auditory/vestibular - VKH disease, sarcoidosis, Wegener granulomatosis, Eales disease, syphilis

Cranial neuropathy - Lyme disease, sarcoidosis, multiple sclerosis, syphilis, herpes simplex virus

Psychosis - VKH disease, Behçet disease, systemic lupus erythematosus (SLE)

Cerebral vasculitis - Acute posterior multifocal

placoid pigment epitheliopathy (APMPPE), Behçet disease, herpes simplex

virus, herpes zoster virus, syphilis, Lyme disease

Ear/Nose/Throat

Bilateral ear pinna inflammation - Relapsing polychondritis

Saddle nose deformity - Syphilis, Wegener granulomatosis, relapsing polychondritis

Oral ulcers - Behçet disease, SLE, herpes simplex, Reiter syndrome, ulcerative colitis

Sinusitis - Sarcoidosis, Wegener granulomatosis

Salivary/lacrimal gland swelling - Sarcoidosis, lymphoma

Lymphadenopathy - Lymphoma, HIV, toxoplasmosis

Gastrointestinal

Diarrhea - Crohn disease, ulcerative colitis, Whipple disease

Jaundice/hepatosplenomegaly - Brucellosis, CMV, sarcoidosis, infectious hepatitis, autoimmune hepatitis

Pulmonary

Cough, shortness of breath - Tuberculosis (TB), sarcoidosis, Pneumocystis carinii, malignancy, Wegener granulomatosis

Chest CT scan/chest x-ray: nodules, hilar adenopathy,

infiltrates - Ocular histoplasmosis, sarcoidosis (hilar adenopathy),

malignancy, TB, P carinii pneumonia

Genitourinary

Genital ulcers - Behçet disease, Reiter syndrome, syphilis

Hematuria - Wegener granulomatosis, PAN, SLE

Circinate balanitis - Ankylosing spondylitis, Reiter syndrome

Urethral discharge - Reiter syndrome, syphilis

Nephritis - PAN, Wegener granulomatosis, tubulointerstitial nephritis and uveitis (TINU)

Epididymitis - PAN, Behçet disease, Reiter syndrome

Dermatologic

Alopecia - VKH disease, syphilis

Vitiligo, poliosis - VKH disease

Nodules - Sarcoidosis, SLE, leprosy, Crohn disease, ulcerative colitis

Rash - Syphilis, Lyme disease, Reiter syndrome,

leprosy, sarcoidosis, herpes zoster, Behçet disease, psoriasis, SLE,

Kawasaki disease

Keratoderma blennorrhagicum - Reiter syndrome, ankylosing spondylitis

Erythema nodosum - Behçet disease, sarcoidosis, APMPPE

Musculoskeletal

Arthralgias/arthritis - Behçet disease, sarcoidosis,

SLE, juvenile idiopathic arthritis (JIA), Lyme disease, syphilis,

psoriatic arthritis, Reiter syndrome, ulcerative colitis

Sacroiliitis - Ankylosing spondylitis, Reiter syndrome, inflammatory bowel disease

Constitutional

Fever - Reiter syndrome, Behçet disease, PAN, inflammatory bowel disease, HIV, TB, coccidioidomycosis, Whipple disease

Night sweats - Malignancy, TB, sarcoidosis, coccidioidomycosis

Flulike symptoms - APMPPE, multiple evanescent white dot syndrome (MEWDS)

[Guest guest]

It's so ironic that you would post this right now, .

My iritis, which is a uveitis, flared at the end of last week.

I have to use eye drops every hour! Boy, an hour goes by quickly!

Today was my regular oncology visit and my onco is concerned that the iritis

flare might signal that my Wegener's is flaring, in spite of cytoxan, pred, and

methatrexate!

As far as I can tell, my only symptom is iritis, if I am flaring. I had an ANCA

blood test yesterday and should know the results tomorrow.

This is the first time I have ever seen uveitis linked specifically with WG.

In fact, I didn't think they were connected.

Thanks for this info at such a timely time. (That's a really wierd sentence.)

Joan

---- Strecker wrote:

> Uveitis, Evaluation and Treatment

> <http://www.emedicine.com/oph/topic581.htm>

> http://www.emedicine.com/oph/topic581.htm

> <http://www.emedicine.com/oph/topic581.htm>

>

>

>

>

> The lists below include some of the most common systemic findings in

> patients with uveitis.

>

> Head/CNS

>

> * Headaches - VKH disease, sarcoidosis, Behçet disease,

> tuberculosis, herpes zoster, large cell lymphoma, polyarteritis nodosa

> (PAN), Cryptococcus meningitis, toxoplasmosis, Lyme disease

> * Auditory/vestibular - VKH disease, sarcoidosis, Wegener

> granulomatosis, Eales disease, syphilis

> * Cranial neuropathy - Lyme disease, sarcoidosis, multiple sclerosis,

> syphilis, herpes simplex virus

> * Psychosis - VKH disease, Behçet disease, systemic lupus

> erythematosus (SLE)

> * Cerebral vasculitis - Acute posterior multifocal placoid pigment

> epitheliopathy (APMPPE), Behçet disease, herpes simplex virus, herpes

> zoster virus, syphilis, Lyme disease

>

> Ear/Nose/Throat

>

> * Bilateral ear pinna inflammation - Relapsing polychondritis

> * Saddle nose deformity - Syphilis, Wegener granulomatosis, relapsing

> polychondritis

> * Oral ulcers - Behçet disease, SLE, herpes simplex, Reiter

> syndrome, ulcerative colitis

> * Sinusitis - Sarcoidosis, Wegener granulomatosis

> * Salivary/lacrimal gland swelling - Sarcoidosis, lymphoma

> * Lymphadenopathy - Lymphoma, HIV, toxoplasmosis

>

> Gastrointestinal

>

> * Diarrhea - Crohn disease, ulcerative colitis, Whipple disease

> * Jaundice/hepatosplenomegaly - Brucellosis, CMV, sarcoidosis,

> infectious hepatitis, autoimmune hepatitis

>

> Pulmonary

>

> * Cough, shortness of breath - Tuberculosis (TB), sarcoidosis,

> Pneumocystis carinii, malignancy, Wegener granulomatosis

> * Chest CT scan/chest x-ray: nodules, hilar adenopathy, infiltrates -

> Ocular histoplasmosis, sarcoidosis (hilar adenopathy), malignancy, TB, P

> carinii pneumonia

>

> Genitourinary

>

> * Genital ulcers - Behçet disease, Reiter syndrome, syphilis

> * Hematuria - Wegener granulomatosis, PAN, SLE

> * Circinate balanitis - Ankylosing spondylitis, Reiter syndrome

> * Urethral discharge - Reiter syndrome, syphilis

> * Nephritis - PAN, Wegener granulomatosis, tubulointerstitial

> nephritis and uveitis (TINU)

> * Epididymitis - PAN, Behçet disease, Reiter syndrome

>

> Dermatologic

>

> * Alopecia - VKH disease, syphilis

> * Vitiligo, poliosis - VKH disease

> * Nodules - Sarcoidosis, SLE, leprosy, Crohn disease, ulcerative

> colitis

> * Rash - Syphilis, Lyme disease, Reiter syndrome, leprosy,

> sarcoidosis, herpes zoster, Behçet disease, psoriasis, SLE, Kawasaki

> disease

> * Keratoderma blennorrhagicum - Reiter syndrome, ankylosing

> spondylitis

> * Erythema nodosum - Behçet disease, sarcoidosis, APMPPE

>

> Musculoskeletal

>

> * Arthralgias/arthritis - Behçet disease, sarcoidosis, SLE,

> juvenile idiopathic arthritis (JIA), Lyme disease, syphilis, psoriatic

> arthritis, Reiter syndrome, ulcerative colitis

> * Sacroiliitis - Ankylosing spondylitis, Reiter syndrome,

> inflammatory bowel disease

>

> Constitutional

>

> * Fever - Reiter syndrome, Behçet disease, PAN, inflammatory bowel

> disease, HIV, TB, coccidioidomycosis, Whipple disease

> * Night sweats - Malignancy, TB, sarcoidosis, coccidioidomycosis

> * Flulike symptoms - APMPPE, multiple evanescent white dot syndrome

> (MEWDS)

>

>