关键词: Ankylosing spondylitis B27 Taiwan anterior diagnosis human leukocyte antigen prevention spondyloarthropathy treatment uveitis

Mesh : Adult Humans HLA-B27 Antigen Consensus Taiwan / epidemiology Uveitis, Anterior / diagnosis prevention & control Uveitis / complications Acute Disease Spondylitis, Ankylosing / complications

来  源:   DOI:10.1080/09273948.2023.2165113

Abstract:
UNASSIGNED: Anterior uveitis is the most common anatomical type of uveitis. Patients with noninfectious anterior uveitis may develop various ocular complications and eventually visual impairment. Appropriately differentiating the etiologies can help clinicians to predict the outcome, arrange clinical follow-up, and decide the treatment or prevention strategy. Adequate treatment and effective prevention strategies can reduce the frequency of recurrence and the risk of developing complications. Human leukocyte antigen (HLA)-B27 is the most common positive finding in patients with noninfectious AAU in many countries including Taiwan.
UNASSIGNED: To report a consensus from experienced uveitis specialists and rheumatologists was made in Taiwan.
UNASSIGNED: A panel of nine ophthalmologists from nine different referral centers with expertise in the management of uveitis and an experienced rheumatologist was held on January 16, 2022. A comprehensive literature review was performed. Differential diagnoses for etiologies, general treatments, and prevention strategies were discussed. Each statement in the consensus was made only if more than 70% of the experts agreed.
UNASSIGNED: A flow chart and seven statements regarding the differential diagnoses for etiologies, treatments and preventions, and co-management with rheumatologists were included in the consensus.
UNASSIGNED: This article discusses the general diagnosis, treatment, and prevention of noninfectious acute anterior uveitis, with or without HLA-B27, in adults for general ophthalmologists to improve overall outcomes of these patients.
摘要:
UASSIGNED:前葡萄膜炎是葡萄膜炎最常见的解剖类型。非感染性前葡萄膜炎患者可能会出现各种眼部并发症,并最终导致视力障碍。适当区分病因可以帮助临床医生预测结果,安排临床随访,并决定治疗或预防策略。适当的治疗和有效的预防策略可以减少复发的频率和发生并发症的风险。人类白细胞抗原(HLA)-B27是包括台湾在内的许多国家非感染性AAU患者中最常见的阳性发现。
UNASSIGNED:报道台湾有经验的葡萄膜炎专家和风湿病学家达成的共识。
UNASSIGNED:2022年1月16日,来自9个不同转诊中心的9名眼科医生在葡萄膜炎管理方面具有专业知识,并由一名经验丰富的风湿病学家组成的小组举行。进行了全面的文献综述。病因的鉴别诊断,一般治疗,并讨论了预防策略。只有在超过70%的专家同意的情况下,共识中的每个声明才会做出。
未经评估:关于病因鉴别诊断的流程图和七项陈述,治疗和预防,共识包括与风湿病学家的共同管理。
UNASSIGNED:本文讨论了一般诊断,治疗,预防非感染性急性前葡萄膜炎,有或没有HLA-B27,在成人普通眼科医生改善这些患者的总体结局。
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