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Screening for uveitis in juvenile rheumatoid arthritis.
J Pediatr Ophthalmol Strabismus. 1998 Jan-Feb; 35(1):41-3.JP

Abstract

BACKGROUND

Uveitis associated with juvenile rheumatoid arthritis (JRA) is an important cause of visual impairment in children. Because uveitis is often asymptomatic in this age group, frequent ophthalmologic screening examinations are recommended. Recent reports have found a decrease in the prevalence and severity of uveitis in JRA when compared to older data.

METHODS

The charts of 52 consecutive patients with JRA seen over a 30-month period were retrospectively reviewed.

RESULTS

Eye examination identified uveitis in five (12%) patients. All patients with uveitis were female, ANA positive, and had pauciarticular-onset arthritis. Three patients had the onset of uveitis before the age of 2. All patients have maintained good visual acuity and have not developed serious sight-threatening ocular complications over the follow-up period.

CONCLUSIONS

Although the prevalence and severity of JRA-associated uveitis may be decreasing, we strongly recommend continued strict adherence to the current screening guidelines.

Authors+Show Affiliations

St. Louis Eye Institute, Mo., USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9503315

Citation

Boone, M I., et al. "Screening for Uveitis in Juvenile Rheumatoid Arthritis." Journal of Pediatric Ophthalmology and Strabismus, vol. 35, no. 1, 1998, pp. 41-3.
Boone MI, Moore TL, Cruz OA. Screening for uveitis in juvenile rheumatoid arthritis. J Pediatr Ophthalmol Strabismus. 1998;35(1):41-3.
Boone, M. I., Moore, T. L., & Cruz, O. A. (1998). Screening for uveitis in juvenile rheumatoid arthritis. Journal of Pediatric Ophthalmology and Strabismus, 35(1), 41-3.
Boone MI, Moore TL, Cruz OA. Screening for Uveitis in Juvenile Rheumatoid Arthritis. J Pediatr Ophthalmol Strabismus. 1998 Jan-Feb;35(1):41-3. PubMed PMID: 9503315.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Screening for uveitis in juvenile rheumatoid arthritis. AU - Boone,M I, AU - Moore,T L, AU - Cruz,O A, PY - 1998/3/21/pubmed PY - 1998/3/21/medline PY - 1998/3/21/entrez SP - 41 EP - 3 JF - Journal of pediatric ophthalmology and strabismus JO - J Pediatr Ophthalmol Strabismus VL - 35 IS - 1 N2 - BACKGROUND: Uveitis associated with juvenile rheumatoid arthritis (JRA) is an important cause of visual impairment in children. Because uveitis is often asymptomatic in this age group, frequent ophthalmologic screening examinations are recommended. Recent reports have found a decrease in the prevalence and severity of uveitis in JRA when compared to older data. METHODS: The charts of 52 consecutive patients with JRA seen over a 30-month period were retrospectively reviewed. RESULTS: Eye examination identified uveitis in five (12%) patients. All patients with uveitis were female, ANA positive, and had pauciarticular-onset arthritis. Three patients had the onset of uveitis before the age of 2. All patients have maintained good visual acuity and have not developed serious sight-threatening ocular complications over the follow-up period. CONCLUSIONS: Although the prevalence and severity of JRA-associated uveitis may be decreasing, we strongly recommend continued strict adherence to the current screening guidelines. SN - 0191-3913 UR - https://www.unboundmedicine.com/medline/citation/9503315/Screening_for_uveitis_in_juvenile_rheumatoid_arthritis_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=9503315.ui DB - PRIME DP - Unbound Medicine ER -