9 Eye involvement in children's rheumatic diseases

MD Hélène Dollfus (Ophthalmologist)
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引用次数: 14

Abstract

Rheumatoid paediatric diseases are a leading cause of uveitis in childhood. Juvenile chronic arthritis (JCA), juvenile onset spondyloarthropathies as well as sarcoidosis and other systemic diseases with arthritis may include ocular manifestations that can threaten vision, and especially so in juvenile chronic arthritis. Special risk factors concerning the eye have to be considered for JCA. The diagnosis, detection, follow-up studies and treatment in children may differ significantly from adult rheumatoid diseases because of the young age of the patients and the specific features and signs of ocular involvement. Medical and surgical treatment of such ocular manifestations may be challenging. Special attention to children's ophthalmic complications must be undertaken by paediatricians and ophthalmologists.

儿童风湿病与眼睛的关系
类风湿儿科疾病是儿童葡萄膜炎的主要原因。青少年慢性关节炎(JCA)、青少年型颈椎病以及结节病等伴关节炎的全身性疾病可能包括威胁视力的眼部表现,尤其是青少年慢性关节炎。对于JCA,必须考虑与眼睛有关的特殊风险因素。儿童类风湿性疾病的诊断、检测、随访研究和治疗可能与成人类风湿性疾病有很大不同,因为患者年龄小,眼部受累的具体特征和体征也不同。此类眼部表现的内科和外科治疗可能具有挑战性。儿科医生和眼科医生必须特别注意儿童眼科并发症。
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