风湿病-眼科合作葡萄膜炎单位可以改善这种病理的诊断和治疗方法:来自西班牙二级医院葡萄膜炎单位的经验

Á. Mora, E. Aurrecoechea, A. Corral, J. Calvo
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引用次数: 5

摘要

目的:本研究旨在分析某小医院葡萄膜炎科室前三年诊断的葡萄膜炎的病因,并分享风湿病-眼科葡萄膜炎联合科室的经验和组织。方法:本研究纳入136例葡萄膜炎患者。结果:葡萄膜炎最常见的形式为前葡萄膜炎(67.2%),最常见的诊断为强直性脊柱炎(17.8%),疱疹(14.3%),HLA-B27+ (9.5%), Fuchs异色虹膜睫状体炎(3.5%)。后葡萄膜炎占16.8%,最常见的诊断为弓形虫病(42.9%)、蛇形脉络膜病(23.8%)、结核病(4.8%)和Vogt Koyanagi Harada病(4.8%)。全葡萄膜炎占8.8%,最常见的病因是白塞病(18.8%)、眼内炎(9%)和弓形虫病(9%)。中度葡萄膜炎占7.2%,最常见的是结节病(11%)、梅毒(11%)和多发性硬化症(11%)。结论:以二级中心为基础的研究显示了二级医院与三级医院在葡萄膜炎类型和病因学上的差异。
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Rheumatology-Ophthalmology Collaborative Uveitis Units may Improve the Diagnostic and Therapeutic Approach of this Pathology: Experience from a Uveitis Unit in a Secondary Spanish Hospital
Purpose: The aim of this study is analyze the Etiology of the Uveitis diagnosed in the first three years of a Uveitis unit in a small hospital and share the experience and organization of a collaborative Rheumatology-Ophthalmology Uveitis Unit. Methods: This study includes 136 patients with Uveitis. Results: The most common form of Uveitis was anterior Uveitis (67.2%) and the most common diagnoses were Ankylosing spondylitis (17.8%), Herpes (14.3%), HLA-B27+ (9.5%), Fuchs Heterochromic Iridocyclitis (3.5%). Posterior Uveitis were 16.8% and the most common diagnoses were toxoplasmosis (42.9%), Serpiginous choroidopathy (23.8%), Tuberculosis (4.8%) and Vogt Koyanagi Harada disease (4.8%). Panuveitis was diagnosed in 8.8% of the cases and the most frequent causes were Behcet's disease (18.8%), Endophthalmitis (9%), and Toxoplasmosis (9%). Intermediate Uveitis with 7.2% of the diagnoses, the most frequent were Sarcoidosis (11%), syphilis (11%), and multiple sclerosis (11%). Conclusion: This secondary center based study shows the difference in type of Uveitis and etiology in a secondary hospital from a tertiary one.
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