Psoriasis and uveitis: a literature review

Fraga, Naiara A.; Oliveira, Maria de Fátima; Follador, Ivonise; Rocha, Bruno de Oliveira; Rêgo, Vitória Regina Pedreira de Almeida

doi:10.1590/s0365-05962012000600009

Cited by 59 publications

(64 citation statements)

References 23 publications

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“…Although the association between psoriasis and anterior uveitis is well established [6], several aspects of this patient’s case indicate that his anterior uveitis was secondary to type II essential cryoglobulinemia rather than his psoriatic arthritis. First, there is a temporal relationship between the development of anterior uveitis and cryoglobulinemia.…”

Section: Discussionmentioning

confidence: 97%

Anterior uveitis secondary to type II essential cryoglobulinemia

Nicholson

Sobrin

2013

J OPHTH INFLAMM INFECT

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BackgroundThe purpose of this report is to describe the association of severe anterior uveitis with type II essential cryoglobulinemia.FindingsA 40-year-old male with a history of psoriatic arthritis presented with severe anterior uveitis associated with type II essential cryoglobulinemia. His uveitis, refractory to steroid treatments, was well controlled following treatments for cryoglobulinemia. The temporal association between his cryoglobulinemia and uveitis, combined with his improved visual acuity and inflammation after plasmapheresis and rituximab infusions, suggests cryoglobulinemia to be the underlying condition of his uveitis.ConclusionsTo our best knowledge, this is the first reported case of anterior uveitis secondary to type II essential cryoglobulinemia.

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Section: Discussionmentioning

confidence: 97%

Anterior uveitis secondary to type II essential cryoglobulinemia

Nicholson

Sobrin

2013

J OPHTH INFLAMM INFECT

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“…2 Immune recovery uveitis has been described in patients with HIV infection in whom antiretroviral therapy has been initiated 3 The patient had an established diagnosis of psoriatic arthritis, and uveitis develops as an associated manifestation in approximately 7% of patients with this condition.…”

Section: Discussionmentioning

confidence: 99%

Case 20-2016

Eliott¹,

Papaliodis²,

Durand³

et al. 2016

N Engl J Med

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2586T h e ne w e ngl a nd jou r na l o f m e dicine Pr esentation of C a seDr. Eric D. Gaier (Ophthalmology): A 50-year-old man with psoriatic arthritis and human immunodeficiency virus (HIV) infection was seen at the Massachusetts Eye and Ear Infirmary because of cloudy vision.The patient had been in his usual state of health until 3 days before this evaluation, when cloudy vision in both eyes developed gradually over the course of the day. Three days later, he sought medical attention at the emergency department of the Massachusetts Eye and Ear Infirmary. On arrival, he reported fatigue. He also reported that the rash, joint pain, and stiffness associated with his psoriatic arthritis had recently worsened.Sixteen years before this evaluation, the patient had had laser surgery for a retinal tear in the left eye. Ten months before this evaluation, he had had an episode of Pneumocystis jirovecii pneumonia that led to an evaluation for and diagnosis of HIV infection, and he had begun taking antiretroviral medications 2 months before this evaluation. Six weeks before this evaluation, he had been admitted to another hospital because of hypotension, hyponatremia, pancytopenia, and acute kidney injury; the serum alkaline phosphatase level was elevated, the CD4 count and blood cortisol level were low, and blood cultures had no growth. Adrenal insufficiency, disseminated infection with Mycobacterium avium-intracellulare, and the immune reconstitution inflammatory syndrome were suspected. Antiretroviral medications were stopped, and azithromycin, rifabutin, ethambutol, hydrocortisone, and fludrocortisone were administered, as was trimethoprim-sulfamethoxazole three times weekly. Two weeks before this evaluation, emtricitabine, tenofovir, ritonavir, and darunavir were again initiated. The patient had no known allergies. He lived with his husband, did not smoke tobacco or use illicit drugs, and drank alcohol socially.On examination, the patient was alert and oriented to person, place, and time. The pulse was 91 beats per minute, the blood pressure 121/77 mm Hg, the respiratory rate 20 breaths per minute, and the oxygen saturation 100% while he was breathing ambient air. Ophthalmologic examination revealed visual acuity of 20/25 in the right eye and 20/30 in the left eye. The pupils were equally round

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“…There is a correlation between pustular psoriasis, psoriatic arthritis and human leukocyte antigen-B27. Uveitis accompanying psoriasis is in general occult and unless untreated, complications such as hypopyon, posterior synechiae and retinal vasculitis can develop 67 . In a study by Demir et al…”

Section: Ocular Signs and Uveitismentioning

confidence: 99%

Comorbidities in psoriasis: The recognition of psoriasis as a systemic disease and current management

Kalkan¹

2017

TURKDERM

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©Copyright 2017 by Turkish Society of Dermatology and Venereology Turkderm-Turkish Archives of Dermatology and Venereology published by Galenos Yayınevi. Öz IntroductionPsoriasis, with a worldwide prevalence of 2-3%, is now assumed as a systemic chronic inflammatory disease accompanied by comorbidities while it was accepted as a disease limited only to the skin in the past 1 . Psoriasis and its comorbidities were the main focused topic at several sessions of the 73 rd Annual Meeting of the American Academy of Dermatology and, especially, systemic disease concept was emphasized 2 . Therefore, recent publications suggest that the term psoriatic disease would be a better nomination instead of psoriasis 3 . In this review, learning screening recommendations developed for early detection and treatment of comorbidities as well as integrated, multidisciplinary approach for disease management have been targeted by reviewing psoriasis and accompanying comorbidities. Comorbidities are more frequently seen in 15% of psoriasis patients who have moderate to severe psoriasis due to increased inflammatory impact and common pathogenesis. Consistent monitoring and systemic treatment are required to prevent development of comorbidities. There are several Tüm dünyada %2-3 oranında görülme sıklığına sahip psoriazis, geçmişte sadece deriye sınırlı kabul edilirken, günümüzde birçok komorbiditenin eşlik ettiği kronik sistemik enflamatuvar bir hastalık olarak ele alınmaktadır. Orta-şiddetli düzeyde psoriazisi olanlarda daha sık görülen komorbiditelerle ilgili çeşitli sınıflamalar mevcuttur. Basit olarak klasik, kronik sistemik enflamasyonla ilişkili, yaşam tarzı ile ilgili ve tedavi ile ilgili olarak sınıflanabileceği gibi medikal komorbiditeler, psikiyatrik/psikolojik komorbiditeler ve komorbiditelere katkı yapan durumlar şeklinde de sınıflanabilmektedir. Bu derlemede psoriazis ve eşlik eden komorbiditelerin gözden geçirilmesiyle; komorbiditelerin erken tanı ve tedavisini sağlama, komorbiditilerin erken tespitine yönelik geliştirilen tarama önerilerini öğrenme ve hastalığın yönetiminde entegre, multidisipliner yaklaşım ile uzun dönem hastalık kontrolü ve hayat kalitesinde düzelme sağlamak hedeflenmektedir. Anahtar Kelimeler: Psoriazis, komorbidite, sistemik hastalık Psoriasis, with a worldwide prevalence of 2-3%, is now assumed as a systemic chronic inflammatory disease accompanied by comorbidities while it was accepted as a disease limited only to the skin in the past. There are several classifications of the comorbidities which are more common in patients with moderate to severe psoriasis. Simply, comorbidities can be classified as classic, emerging, related to lifestyle, related to treatment. They can also be categorized as medical comorbidities, psychiatric/psychologic comorbidities, and behaviors contributing to medical and psychiatric comorbidities. In this review, providing early diagnosis and treatment of comorbidities, learning screening recommendations for early detection and long-term disease control and improvemen...

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Psoriasis and uveitis: a literature review

Cited by 59 publications

References 23 publications

Anterior uveitis secondary to type II essential cryoglobulinemia

Anterior uveitis secondary to type II essential cryoglobulinemia

Case 20-2016

Comorbidities in psoriasis: The recognition of psoriasis as a systemic disease and current management

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