自身免疫性疾病中的外周性角膜炎 (PUK):一种严重的眼部表现,并不总是与全身性疾病活动相关联
Laura Pelegrín1, Olga Araújo2, Gerard Espinosa2
1Ocular Inflammation Unit, Department of Ophthalmology, Hospital Clínic de Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona, Barcelona, Spain.
European journal of internal medicine
|February 24, 2026
概括
周围性角膜炎 (PUK) 通常发生在不活跃的全身自身免疫性疾病之前或期间. 早期的自身免疫评估和持续的眼睛监测对于PUK患者至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 类风湿病学 类风湿病学
- 免疫学 免疫学 免疫学
背景情况:
- 外周性角膜炎 (PUK) 是一种严重的眼睛疾病,通常与系统性自身免疫性疾病有关.
- 了解与自身免疫性疾病相关的PUK的临床过程和结果对于患者管理至关重要.
研究的目的:
- 描述自身免疫相关PUK的临床和组织病理特征.
- 分析治疗策略,复发率,眼部结果以及与系统性疾病活动的关系.
主要方法:
- 在两个三级推中心进行了回顾性观察性研究.
- 包括24名患者 (35只眼睛) 患有PUK和被诊断为全身自身免疫性疾病.
- 对临床数据,组织病理学,治疗和随访信息的分析,平均时间为14.4年.
主要成果:
- 类风湿性关节炎和带有多炎的颗粒性关节炎是最常见的相关疾病.
- PUK经常与系统性诊断 (41.7%) 之前或同时发生,并且经常与不活跃的系统性疾病发生 (58.3%在发病时,83.3%在复发时).
- 显著的视力损伤发生在54.2%的患者中,超过一半的患者出现了复发.
结论:
- 与自身免疫相关的PUK可以在系统性疾病活动之前或独立地表现出来.
- 对所有PUK患者来说,全面的自身免疫检查是必不可少的.
- 持续的眼科监测是必要的,即使系统性自身免疫性疾病处于缓解期.
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