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Uveitis Associated with Juvenile Idiopathic Arthritis, our Observations.
Med Arch. 2017 Feb; 71(1):52-55.MA

Abstract

INTRODUCTION

Uveitis as extra-articular manifestation of juvenile idiopathic arthritis (JIA) is present in 20% of children with the persistent form, in 30% with the extended oligoarticular form, while it is present in psoriatic and polyarticular rheumatoid factor (RF) negative arthritis in 10% and 14%, respectively.

AIM

The aim of the study was to evaluate the frequency of uveitis and its complications in children with JIA.

MATERIAL AND METHODS

A retrospective study was conducted with an analysis of the medical records of children with JIA who were treated for the last 5 years. The analysis included the following: the child's age and sex, age at onset of arthritis, of uveitis, complications, RF values and antinuclear antibodies (ANA).

RESULTS

The study included 97 children with JIA: in 14 (14.4%) uveitis was observed; the most common form of JIA was the oligoarticular extended form (6/14), oligoarticular persistent form was observed in 5 children, while 3 children with uveitis had polyarticular RF negative JIA. The age of arthritis onset was lower in children with uveitis (4.7 vs 8.2 years); ANA positivity was more common in children with JIA and uveitis (64% vs 41%). Uveitis was the first manifestation of the disease for 2 children; 28.6% of children had clinically asymptomatic uveitis, while 42.4% of children developed uveitis within 4 years from the JIA onset. 8/14 children developed uveitis complications: 3 cases of synechia, 2 band keratopathy, 2 cataracta, 1 glaucoma.

CONCLUSION

Uveitis as significantly present manifestation of JIA requires to timely recognize, treat, monitor children in order to prevent complications.

Authors+Show Affiliations

Clinic for Children's Diseases, University Clinical Centre Tuzla, Bosnia and Herzegovina.Ophthalmology Clinic, University Clinical Centre Tuzla, Tuzla, Bosnia and Herzegovina.Clinic for Children's Diseases, University Clinical Centre Tuzla, Bosnia and Herzegovina.Clinic for cardiovascular diseases, University Clinical Centre Tuzla, Tuzla, Bosnia and Herzegovina.

Pub Type(s)

Journal Article
Observational Study

Language

eng

PubMed ID

28428675

Citation

Cosickic, Almira, et al. "Uveitis Associated With Juvenile Idiopathic Arthritis, Our Observations." Medical Archives (Sarajevo, Bosnia and Herzegovina), vol. 71, no. 1, 2017, pp. 52-55.
Cosickic A, Halilbasic M, Selimovic A, et al. Uveitis Associated with Juvenile Idiopathic Arthritis, our Observations. Med Arch. 2017;71(1):52-55.
Cosickic, A., Halilbasic, M., Selimovic, A., & Avdagic, H. (2017). Uveitis Associated with Juvenile Idiopathic Arthritis, our Observations. Medical Archives (Sarajevo, Bosnia and Herzegovina), 71(1), 52-55. https://doi.org/10.5455/medarh.2017.71.52-55
Cosickic A, et al. Uveitis Associated With Juvenile Idiopathic Arthritis, Our Observations. Med Arch. 2017;71(1):52-55. PubMed PMID: 28428675.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Uveitis Associated with Juvenile Idiopathic Arthritis, our Observations. AU - Cosickic,Almira, AU - Halilbasic,Meliha, AU - Selimovic,Amela, AU - Avdagic,Harun, Y1 - 2017/02/05/ PY - 2017/4/22/entrez PY - 2017/4/22/pubmed PY - 2018/9/20/medline KW - arthritis KW - children KW - uveitis SP - 52 EP - 55 JF - Medical archives (Sarajevo, Bosnia and Herzegovina) JO - Med Arch VL - 71 IS - 1 N2 - INTRODUCTION: Uveitis as extra-articular manifestation of juvenile idiopathic arthritis (JIA) is present in 20% of children with the persistent form, in 30% with the extended oligoarticular form, while it is present in psoriatic and polyarticular rheumatoid factor (RF) negative arthritis in 10% and 14%, respectively. AIM: The aim of the study was to evaluate the frequency of uveitis and its complications in children with JIA. MATERIAL AND METHODS: A retrospective study was conducted with an analysis of the medical records of children with JIA who were treated for the last 5 years. The analysis included the following: the child's age and sex, age at onset of arthritis, of uveitis, complications, RF values and antinuclear antibodies (ANA). RESULTS: The study included 97 children with JIA: in 14 (14.4%) uveitis was observed; the most common form of JIA was the oligoarticular extended form (6/14), oligoarticular persistent form was observed in 5 children, while 3 children with uveitis had polyarticular RF negative JIA. The age of arthritis onset was lower in children with uveitis (4.7 vs 8.2 years); ANA positivity was more common in children with JIA and uveitis (64% vs 41%). Uveitis was the first manifestation of the disease for 2 children; 28.6% of children had clinically asymptomatic uveitis, while 42.4% of children developed uveitis within 4 years from the JIA onset. 8/14 children developed uveitis complications: 3 cases of synechia, 2 band keratopathy, 2 cataracta, 1 glaucoma. CONCLUSION: Uveitis as significantly present manifestation of JIA requires to timely recognize, treat, monitor children in order to prevent complications. SN - 0350-199X UR - https://www.unboundmedicine.com/medline/citation/28428675/Uveitis_Associated_with_Juvenile_Idiopathic_Arthritis_our_Observations_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/28428675/ DB - PRIME DP - Unbound Medicine ER -