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Uveitis. An internist's view.

J T Rosenbaum1

  • 1Department of Medicine, Oregon Health Sciences University, Portland 97201.

Archives of Internal Medicine
|May 1, 1989
PubMed
Summary
This summary is machine-generated.

Systemic disease evaluation is crucial for uveitis patients, with 40% diagnosed with a related condition. Internist consultations, often guided by history and physical exams, significantly aid in diagnosing these associated systemic illnesses.

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Area of Science:

  • Ophthalmology
  • Internal Medicine
  • Rheumatology

Background:

  • The role of systemic disease evaluation in uveitis patients remains debated.
  • Uveitis can be a manifestation of underlying systemic conditions.

Purpose of the Study:

  • To determine the utility of internist evaluations for identifying systemic diseases in uveitis patients.
  • To assess the prevalence of systemic diseases associated with different types of uveitis.

Main Methods:

  • Retrospective review of 236 uveitis patients referred to an internist.
  • Analysis of diagnoses made by internists, including systemic diseases causally related to uveitis.

Main Results:

  • Systemic diseases were diagnosed or confirmed in 40% of all uveitis patients.

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  • Anterior uveitis had the highest association with systemic illness (53%), compared to posterior uveitis (17%) and chorioretinitis (22%).
  • Commonly diagnosed systemic diseases included Reiter's syndrome, ankylosing spondylitis, Sjögren's syndrome, and sarcoidosis, often undiagnosed prior to referral.

    • Conclusions:

    • Internist evaluations are valuable for diagnosing systemic diseases in uveitis patients.
    • A thorough patient history and physical examination are often sufficient for diagnosis, minimizing the need for extensive laboratory testing.