与儿童的炎症性肠病相关的眼部参与的流行率和特征
Amir Ben-Tov1,2,3, Tomer Achler3, Tal Patalon1
1Kahn Sagol Maccabi (KSM) Research & Innovation Center, Maccabi Healthcare Services, Tel Aviv, Israel.
Inflammatory bowel diseases
|July 24, 2024
概括
患有炎症性肠病的儿童的眼部表现很少见,影响3%的患者. 这种情况与增加皮质类固醇和生物药物的使用有关,这表明疾病的进展更为严重.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 眼科医生 眼科 眼科
- 炎症性肠道疾病研究研究
背景情况:
- 眼部表现 (OMs) 在儿科炎性肠病 (IBD) 中不常见.
- 了解儿童中IBD相关的OM的患病率和特征至关重要.
研究的目的:
- 在一大批儿科IBD患者中确定眼部表现的患病率和临床特征.
- 调查IBD诊断和眼部参与之间的时间关系.
主要方法:
- 使用麦卡比医疗保健服务 (MHS) 数据库进行横截面研究.
- 纳入标准:在2005年1月至2023年7月期间,在18岁之前被诊断患有IBD的患者.
- 对人口统计数据,疾病过程和眼部干扰患病率的分析.
主要成果:
- 在2567名患有IBD的儿童中,OM的患病率为3% (78名患者).
- 在69%的病例中,IBD诊断后发生了眼部疾病 (诊断后平均2.6年).
- OM与系统性皮质类固醇和生物药物的使用增加有关 (P < .001和P = .04分别).
结论:
- 儿科IBD中的眼部参与是罕见的,并且随着时间的推移具有稳定的患病率.
- 与免疫抑制疗法增加的关联表明IBD表型可能更严重.
- 在患有IBD的儿童中,早期识别和管理OMs非常重要.
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