305755

Ocular Comorbidities in Juvenile Idiopathic Arthritis

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Last updated: 03 Jan 2025

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Abstract

Background: Uveitis is the most widespread and serious extra-articular sign of juvenile idiopathic arthritis (JIA), which is the most prevalent rheumatic condition in children. Despite more effective treatment options, the prevalence of JIA illness remains high, making it so difficult to assess the disease's outcomes—especially if extra-articular symptoms are present. The maintenance of sight and effective care depend on early detection. Objective: The aim of the current study was to scan the eyes of kids with JIA in order to find any ocular symptoms as soon as possible and stop any problems that could result in blindness and vision loss. Patients and methods: The study included 97 children who have JIA of both sexes, their age was under 16. All patients were underwent to a clinical examination (general, musculoskeletal, and ophthalmic examination), as well as laboratory testing (ESR, RF, ANA, HLA-B27, and CRP). Results: Ocular complications of JIA were significant (P<0.05) in uveitis group compared with group without uveitis regarding synechia, macular edema, keratopathy, glaucoma, and mild visual impairment. Correlation showed that disease severity (JDAS 27) is independent risk factors affecting uveitis (r=0.7353, P=0.001). Other risk factors like disease duration, age, JIA subtype and anterior chamber cells as well as CRP and ESR, TLC, and ANA positivity were significantly correlated with uveitis (r=0.976 P=0.032, r=0.728 P=0.014, r=0.932 P=0.042, r=0.963 P=0.026, r=0.854 P=0.045, r=0.768 P=0.036, r=0.697 P=0.057, r=0.719 P=0.019, consecutively). Conclusion: JIA-related uveitis might have disastrous consequences. Today, clinical and demographic criteria have been used largely to estimate the risk of developing uveitis in JIA patients. To uncover patient-specific risk variables, recent studies employed molecular proteomic and cellular phenotyping techniques.

DOI

10.21608/ejhm.2023.305755

Authors

First Name

Mayada

Last Name

Khalil

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Orcid

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First Name

Ali Ibrahim

Last Name

Fouda

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First Name

Abd El Wahab Shams Eldin

Last Name

Elbrashy

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Orcid

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First Name

Ahmed

Last Name

Tabal

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First Name

Lamyaa Mohammed

Last Name

Hashem

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Volume

91

Article Issue

1

Related Issue

40609

Issue Date

2023-04-01

Receive Date

2023-07-01

Publish Date

2023-04-01

Page Start

5,421

Page End

5,427

Print ISSN

1687-2002

Online ISSN

2090-7125

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https://ejhm.journals.ekb.eg/article_305755.html

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https://ejhm.journals.ekb.eg/service?article_code=305755

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Publication Title

The Egyptian Journal of Hospital Medicine

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https://ejhm.journals.ekb.eg/

MainTitle

Ocular Comorbidities in Juvenile Idiopathic Arthritis

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Article

Created At

24 Dec 2024