国际眼科杂志Issue(1)：160-161,2.DOI:10.3980/j.issn.1672-5123.2014.01.51
强直性脊柱炎伴发葡萄膜炎18例临床分析
Clinical analysis of ankylosing spondylitis associated with uveitis in 18 cases
陈丽华 1伍雪芬 1许福荣 1黄碧文 1冯劲1
作者信息
- 1. 523710 中国广东省东莞市塘厦医院眼科
- 折叠
摘要
Abstract
AIM: To investigate the clinical characteristics, diagnosis, treatment and prognosis of ankylosing spondylitis ( AS) associated with uveitis. <br> METHODS: The retrospective analysis of clinical manifestation, laboratory examination and clinical diagnosis and treatment on 18 patients with uveitis ( 18 eyes) from June 2006 to June 2012 in our hospital. <br> RESULTS:A total of 18 patients with AS associated with uveitis, including sixteen males and two females were included.Onset age of AS patients was ( 33 ±11 ) years old, while uveitis patient was (29±13) years old.Thirteen patients were diagnosed as AS first and then went to ophthalmology department; other five patients were diagnosed as uveitis first but later as AS.Uveitis duration of 18 patients was 15-46 (27±7) days and thirteen patients among them had clear recurrent history. All patients showed typical sacroiliitis in X-ray imaging examination;thirteen patients ( 72.2%) had positive HLA-B27; twelve patients'( 66.6%) erythrocyte sedimentation rate were increased;Seven patients'(38.8%) CRP were>10mg/L. Anterior uveitis of all patients cured after systemic treatment with corticosteroids and cycloplegic eye drops.CONCLUSION: AS associated with uveitis is usually presented in young males,which is often characterized by unilateral onset and recurrent relapse.Based on typical clinical features and radiographic results, the diagnosis can be made.Early and effective treatment can achieve good effects.关键词
强直性脊柱炎/葡萄膜炎/诊断/治疗Key words
ankylosing spondylitis/uveitis/diagnosis/therapy引用本文复制引用
陈丽华,伍雪芬,许福荣,黄碧文,冯劲..强直性脊柱炎伴发葡萄膜炎18例临床分析[J].国际眼科杂志,2014,(1):160-161,2.
