Ocular manifestations in autoimmune rheumatic diseases.

Usama Sohail
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Abstract

Background. Autoimmune disorders involve diverse symptomatic manifestations constituting an abnormal or exaggerated immune function and serve to attack self-antigens and result in tissue destruction. This study aims to comprehensively analyse the prevalence, type, associative factors, and the resultant impact of ocular symptoms on patients presented to rheumatology departments of multi-centre tertiary care hospitals in Lahore. Methods. A total of 300 patients were studied during the time frame of Jan 2021-Dec 2022. Results. Rheumatoid Arthritis comprised 45.7 % (n=137) of patients, Systemic Lupus Erythematosus (SLE) was present in 34.3% (N=103) patients. Spondylarthritis 8.3%, Granulomatous Polyangiitis 3.3%, Juvenile idiopathic arthritis 0.7%, and Bechet Disease 2.3% were present. The total number of patients who developed eye manifestations was 18%. Keratoconjunctivitis Sicca was observed in 4 females and 2 males with overall frequency of 11.1%. Conclusions. Our study showed a surge in the cases of SLE diagnosed and witnessed during the period of 2022, but our study showed an overall decrease in the incidence of eye complications.
自身免疫性风湿病的眼部表现。
背景。自身免疫性疾病涉及多种症状表现,构成异常或夸大的免疫功能,攻击自身抗原并导致组织破坏。本研究旨在全面分析在拉合尔多中心三甲医院风湿病科就诊的患者眼部症状的发病率、类型、相关因素及其影响。研究方法在 2021 年 1 月至 2022 年 12 月期间,共对 300 名患者进行了研究。研究结果类风湿性关节炎患者占 45.7%(137 人),系统性红斑狼疮患者占 34.3%(103 人)。脊柱关节炎占 8.3%,肉芽肿性多血管炎占 3.3%,幼年特发性关节炎占 0.7%,贝切特病占 2.3%。出现眼部表现的患者总数占 18%。其中,4 名女性和 2 名男性出现角结膜炎,总发病率为 11.1%。结论我们的研究显示,在2022年期间,系统性红斑狼疮的确诊和目击病例激增,但我们的研究显示,眼部并发症的发生率总体下降。
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