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TitreLong Follow Up of Juvenile Idiopathic Arthritis Associated Uveitis
ButTo evaluate treatment and outcome of patients with juvenile idiopathic arthritis (JIA)-associated uveitis.

MéthodesRetrospective chart review of 18 cases (aged between 1 and 16 years at diagnosis) of JIA associated uveitis. Collected data was: gender, age at diagnosis (uveitis and arthritis), follow up duration, arthritis subtype, ANA positivity, treatment, complications and visual acuity (initial and final).
RésultatsEighteen patients (14 F) were included, 11 with oligoarticular subtype, 12 positive for ANA. Mean age of JIA related arthritis, uveitis and at end follow up were respectively 3.13, 3.9 and 19 years. Mean follow up duration was 10.6 years. All had systemic steroids. Fifteen patients took immunomodulatory drugs, 11 took anti-TNF alpha. Eight patients had a final VA <20/40 at least in 1 eye. Cataract was noted in all but 2 patients. Elevated IOP occurred in 14 and hypotony in 7 cases. Retina detached in 4 patients. Inactivity was noted in 10 patients with ongoing immunomodulatory drugs and in 3 with only topical steroids at the last follow up. Steroid side effects were potentially reversible.
ConclusionJIA associated uveitis treatment remains challenging, ocular morbidity lasting well into adulthood. Drug associations were useful to decrease dosage and severe drug-related side effects.
Auteur 1
NomLEYS
InitialesE
InstitutCHU Saint-Pierre
VilleBrussels
Auteur 2
NomBALIKOVA
InitialesI
InstitutCHU Saint-Pierre - HUDERF
VilleBrussels
Auteur 3
NomVAN BOL
InitialesL
InstitutErasme
VilleBrussels
Auteur 4
NomJANSSENS
InitialesX
InstitutCHU Saint-Pierre
VilleBrussels
Auteur 5
NomPASTEELS
InitialesB
InstitutCHU Brugmann
VilleBrussels
Auteur 6
NomCARION
InitialesT
VilleVerviers
Auteur 7
NomWILLERMAIN
InitialesF
InstitutCHU Saint-Pierre
VilleBrussels
Auteur 8
NomFERSTER
InitialesA
InstitutHUDERF
VilleBrussels
Auteur 9
NomLÊ
InitialesPQ
InstitutHUDERF
VilleBrussels
Auteur 10
NomCASPERS
InitialesL
InstitutCHU Saint-Pierre
VilleBrussels
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