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Published on: July 5, 2022
[Uveitis of children: a report of 18 cases]
N Matoussi1, S Ben Slima, Z Fitouri
1Service de pédiatrie, d'urgences et de consultations, hôpital d'enfants de Tunis, 1007, rue Jabbari-Bab-Saâdoun, Tunis, Tunisie.
Insights
Childhood uveitis is a serious condition often leading to vision loss, with causes frequently remaining undiagnosed. Prompt ophthalmology follow-up is crucial for managing this pediatric eye disease.
Area of Science:
- Ophthalmology
- Pediatrics
- Rheumatology
Context:
- Childhood uveitis is a rare but severe ocular inflammatory condition.
- It can lead to significant and permanent visual impairment in children.
- Identifying underlying causes is often challenging.
Purpose:
- To analyze the clinical characteristics and long-term outcomes of childhood uveitis.
- To investigate the prevalence of associated systemic diseases.
- To emphasize the importance of timely diagnosis and management.
Summary:
- A 15-year retrospective study in Tunis identified 18 pediatric uveitis cases.
- Anterior and total uveitis were most common, with a mean age at diagnosis of 8 years.
- Underlying diseases were identified in only 5 patients (Behçet's disease, juvenile chronic arthritis, dermatopolymyositis).
Impact:
- Childhood uveitis frequently presents without a clear underlying cause.
- The study highlights the substantial risk of severe visual impairment.
- Strict and regular ophthalmological follow-up is mandatory for affected children.
Unlabelled:
Childhood uveitis is a rare but serious disease that may causes visual loss. Causes are various and an underlying disease is not always found.
Purpose:
To analyse clinical features and prognosis of uveitis in children.
Patients And Methods:
A retrospective, descriptive study of cases observed in a general pediatric unit over a period of 15 years (1990-2005) at Tunis.
Results:
We gathered 18 cases of uveitis (girls 55.6% ,boys 44.4%). Mean age at the diagnosis was 8+/-3 years. Diagnosis was made after a decreased of visual acuity in 55.6% of cases. Localization of uveitis was anterior (6 cases), intermediate (1 case), posterior (3 cases) and total (8 cases). An underlying disease was found in only 5 patients: Behçet's disease (3 patients), juvenile chronic arthritis (1 patient), possible dermatopolymyositis (1 patient). The evolution was favorable in 10 cases with local treatment, systemic corticotherapy and/or immunosuppressive agents. Complications occurred in 3 cases.
Conclusion:
Causes of uveitis in childhood remains most often undiagnosed Our study illustrates the pending risk of severe visual impairment and strict ophtalmology follow-up is mandatory.
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