Uveitis in Childhood: An Italian Clinical and Epidemiological Study

Paroli, Maria Pia; Spinucci, Giovanni; Liverani, Marco; Monte, Rita; Pezzi, Paolo Pivetti

doi:10.1080/09273940802702561

Cited by 84 publications

(54 citation statements)

References 15 publications

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“… *The percentage is out of the total number of uveitis patients. †The percentage is out of the total number of infectious uveitis patients. ‡The two studies from Boston had overlapping patients with each other. §The two studies from The Netherlands had overlapping patient with each other. ¶≤18 years, other ≤16 years. Fuchs heterochromic uveitis syndrome (FHUS) was classified as infectious uveitis because of the established relationship between FHUS and rubella virus 8 9 …”

Section: Introductionmentioning

confidence: 99%

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Infectious involvement in a tertiary center pediatric uveitis cohort

et al. 2014

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Section: Introductionmentioning

confidence: 99%

“… Fuchs heterochromic uveitis syndrome (FHUS) was classified as infectious uveitis because of the established relationship between FHUS and rubella virus 8 9…”

Section: Introductionmentioning

confidence: 99%

Infectious involvement in a tertiary center pediatric uveitis cohort

et al. 2014

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“…Our study included 64 eyes of 43 patients (male:female ratio was 22:21), with a median age of 14 (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18) years at first visit. Pediatric uveitis cases accounted for approximately 2.14% of 2009 patients with uveitis in our Uveitis Unit.…”

Section: Resultsmentioning

confidence: 99%

“…However, previous studies report bilateral involvement mostly in pediatric uveitis. 2,8,[11][12][13] This may be due to the small sample size of our study group.…”

Section: Discussionmentioning

confidence: 99%

Bir Üniversite Kliniğindeki Pediatrik Üveit Olgularının Sonuçları

Yüce¹,

Yılmaz²,

Köse³

et al. 2013

tjo

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Pur po se:To determine the etiology, clinical course, complications, and outcome of uveitis in pediatric patients. Ma te ri al and Met hod: We retrospectively reviewed the medical charts of 64 eyes of 43 patients, who had been followed up at a University clinic. Demographic and etiological features, clinical course, complications, and visual outcome were analyzed. Re sults: Male/female ratio was 22/21. Median age at the first visit was 14 (3-18) years. Unilateral involvement was observed in 22 (51.16%) patients. Anterior uveitis was the most common form (67.19%). Idiopathic uveitis was seen in 25 (58.14%) patients. The most commonly identified etiological entities were juvenile idiopathic arthritis (JIA) (5 patients) and Behcet's disease (4 patients). Both glaucoma and cataract were the most common complications (12.50%, 6.25%; respectively). Final VA was equal or better than 20/40 in 47 eyes (73.43%). Dis cus si on: Uveitis in pediatric patients was mostly idiopathic. The most commonly identified etiologic entities were JIA and Behcet's disease. Final visual outcome was favorable with appropriate treatment. (Turk J Ophthalmol 2013; 43: 395-401) Özet Amaç: Pediatrik hastalarda üveitin etiyoloji, klinik seyir, komplikasyon ve sonuçlarını incelemek. Ge reç ve Yön tem: Üniversitemizde takip edilmiş olan 43 hastanın 64 gözüne ait dosya kayıtları retrospektif olarak incelendi. Demografik ve etiyolojik özellikler, klinik seyir, komplikasyonlar ve görsel sonuçlar analiz edildi. Sonuçlar: Çalışmamızda erkek/kız oranı 22/21 idi. İlk başvuru sırasında hastaların ortanca yaş değeri 14 (3-18) yıl olarak hesaplandı. Hastaların 22 (%51,16)'sinde unilateral tutulum ile karşılaşıldı. Anterior üveit en sık görülen lokalizasyondu (%67,19). Hastalarımızın 25 (%58,14)'inde idiopatik üveit görüldü. En sık tanımlanan etiyolojik sebep ise Juvenil İdiopatik Artrit (JIA) (5 hasta) ve Behçet Hastalığı (4 hasta) idi. En sık karşılaşılan komplikasyonların glokom ve katarakt olduğu görüldü (sırasıyla %12,50, %6,25). Sonuç görme keskinliği 47 (%73,43) gözde 20/40 ve üzerinde idi. Tar t›fl ma: Pediatrik hastalardaki üveit olguları çoğunlukla idiopatiktir. Tanımlanabilen etiyolojik sebeplerden en sık görülenleri JIA ve Behçet Hastalığı'dır. Uygun tedavi ile sonuç görme keskinliği tatminkar olabilmektedir. (Turk J Ophthalmol 2013; 43: 395-401) Anah tar Ke li me ler: Behçet hastalığı, görsel sonuç, juvenil idiopatik artrit, komplikasyon, pediatrik üveit

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“…Es importante recordar que no todas las uveítis se manifiestan con ojo rojo; algunas, como la asociada a AIJ o la uveítis intermedia, se caracterizan por presentar conjuntiva blanca y se las denomina "uveítis frías", que requieren un alto índice de sospecha. [1][2][3][4][5] Las uveítis pueden clasificarse según diferentes criterios: la localización anatómica (anterior, intermedia, posterior o panuveítis), la lesión anatomopatológica (granulomatosa o no granulomatosa), la evolución (aguda, crónica o recidivante) o la causa (traumática, autoinmune, infecciosa, síndromes de enmascaramiento, idiopática, exógena o endógena) (Figura 2).…”

Section: Discusión ¿Cuál Sería El Rol Del Pediatra Para Arribar Al DIunclassified

Uveítis: cuando la nterconsulta es al pediatra

2016

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RESUMENLas uveítis son un grupo heterogéneo de entidades clínicas, de diversas causas, que tienen en común la inflamación ocular. El amplio abanico de causas de uveítis hace, en ocasiones, difícil el diagnóstico y la contención de la familia, y coloca al pediatra en un lugar determinante a la hora de abordar una estrategia diagnóstica coherente y oportuna. El pediatra orientará el diagnóstico con los datos del examen oftalmológico y los hallazgos extraoculares. El objetivo del trabajo es presentar a una paciente de 16 años que consultó al oftalmólogo por ojo rojo asociado a lagrimeo, fotofobia y dolor. Una vez realizado el diagnóstico de uveítis anterior aguda, el especialista sugirió la evaluación por parte del pediatra de cabecera para descartar una enfermedad sistémica. Palabras clave: uveítis, diagnóstico diferencial, clasificación, artritis idiopática juvenil, remisión y consulta. ABSTRACTUveitis is a heterogeneous group of clinical entities that have in common ocular inflammation. The wide range of causes of uveitis makes diagnosis and family support difficult; hence the pediatrician occupies a determinant site to provide a coherent and timely diagnostic strategy. The aim of this paper is to present a 16-year-old patient who consulted to the ophthalmologist for red eye associated with lacrimation, photophobia, and pain. Once the diagnosis of acute anterior uveitis was made, the specialist suggested a pediatrician consult to rule out a systemic disease. INTRODUCCIÓNL a s u v e í t i s s o n u n g r u p o heterogéneo de entidades clínicas, de diversas causas, que tienen en común la inflamación ocular. La uveítis pediátrica es menos frecuente que en el adulto, es más común en niñas y representa de un 5% a un 10% del total de las consultas oftalmológicas. El diagnóstico en niños suele retrasarse, ya que los síntomas funcionales p u e d e n s e r i n d e t e c t a b l e s y l o s signos inflamatorios, imperceptibles. Puede ser la manifestación inicial de una enfermedad generalizada ya establecida, un proceso limitado al globo ocular o un primer signo clínico de una entidad que se desarrollará con el tiempo.Existen muchas causas de uveítis en niños. La uveítis idiopática es la forma más común. Siguiendo en frecuencia, podemos mencionar las asociadas a la artritis idiopática juvenil (AIJ) y a las infecciones. Algunas enfermedades malignas pueden simular una uveítis, como el retinoblastoma y la leucemia, y, en ocasiones, un cuerpo extraño intraocular oculto puede considerarse entre los diagnósticos diferenciales (Tabla 1). E l p e d i a t r a o r i e n t a r á e l diagnóstico con los datos del examen o f t a l m o l ó g i c o y l o s h a l l a z g o s extraoculares.El objetivo del trabajo es, a partir de la presentación de una paciente de 16 años derivada por el oftalmólogo con diagnóstico de uveítis, hacer una revisión del papel del pediatra ante este diagnóstico.

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Uveitis in Childhood: An Italian Clinical and Epidemiological Study

Cited by 84 publications

References 15 publications

Infectious involvement in a tertiary center pediatric uveitis cohort

Infectious involvement in a tertiary center pediatric uveitis cohort

Bir Üniversite Kliniğindeki Pediatrik Üveit Olgularının Sonuçları

Uveítis: cuando la nterconsulta es al pediatra

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