Author/Authors :
Müge R. Keen، نويسنده , , Debra A. Goldtein، نويسنده , , Howard H. Teler، نويسنده ,
Abstract :
Purpoe
To decribe demographic, clinical coure, treatment, and viual prognoi of uveiti in pediatric patient with Behçet dieae, and to compare childhood-onet with adult-onet Behçet uveiti.
Deign
Retropective, obervational cae erie.
Method
etting: Uveiti ervice, Univerity of Illinoi at Chicago and private office of one of the author (H.H.T.). tudy population: Patient diagnoed with Behçet uveiti uing International tudy Group criteria between January 1, 1973 to December 31, 2007. main outcome meaure: Demographic, ymptom, clinical coure, management, laboratory tet, complication, and viual prognoe were recorded.
Reult
Thirty-three patient had available record with at leat one month follow-up; four were children and 29 were adult. All children and 19 adult were male. The mot common initial ymptom wa oral ulcer and the mot common uveiti type wa panuveiti with retinal vaculiti in both group. There wa an average delay of one year among children and 1.8 year among adult between onet of uveiti and dieae diagnoi. Immunouppreive therapy wa employed in all children and 23 of 29 adult. Treatment repone wa variable in both group. Maculopathy wa the mot common caue of permanent viual impairment, both in children and in adult. ix of eight pediatric eye (75%) and 13 of 25 adult eye (52%) retained a viual acuity better than 20/200 at three year.
Concluion
Behçet dieae i an uncommon caue of uveiti in the United tate, with a male predominance. Although the clinical picture of Behçet uveiti wa imilar among both group, the viual prognoi appeared wore in adult. Awarene of thi dieae hould be increaed in nonendemic area to prevent blindne reulting from delay in diagnoi.