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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La uve&#237;tis anterior es una de las manifestaciones extraarticulares m&#225;s importantes de la artritis idiop&#225;tica juvenil &#40;AIJ&#41;&#46; El objetivo de este estudio ha sido analizar la frecuencia de uve&#237;tis en pacientes con AIJ y describir sus caracter&#237;sticas cl&#237;nicas y evolutivas&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se analizaron los pacientes que presentaron uve&#237;tis entre los 234 ni&#241;os con AIJ diagnosticados en nuestro hospital&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Presentaron uve&#237;tis 17 pacientes&#44; 16 ni&#241;as y un ni&#241;o&#44; en 28 ojos&#44; lo que supone una prevalencia de 7&#44;3 &#37; en el total de ni&#241;os con AIJ&#46; Entre los pacientes con una forma pauciarticular u oligoarticular de la enfermedad el porcentaje se elev&#243; hasta el 13&#44;3 &#37; y fue del 10 &#37; en las formas poliarticulares&#46; S&#243;lo 1 de los 12 pacientes con artritis psori&#225;sica desarroll&#243; uve&#237;tis&#46; La media de edad al diagn&#243;stico de la afectaci&#243;n ocular fue de 4&#44;5 a&#241;os y el tiempo transcurrido entre el diagn&#243;stico de la artritis y el de la uve&#237;tis fue de 6 &#177; 1&#44;5 meses&#46; En 2 casos el diagn&#243;stico de uve&#237;tis precedi&#243; al de artritis&#46; Se objetivaron 37 episodios de actividad de la uve&#237;tis de los que 27 fueron asintom&#225;ticos&#46; En el 53 &#37; de los ojos afectados aparecieron complicaciones &#40;sinequias posteriores 43 &#37;&#44; cataratas 25 &#37;&#44; queratopat&#237;a en banda 18 &#37; y glaucoma 7&#37;&#41;&#46; Requirieron cirug&#237;a 6 ojos y 4 ojos presentaron una p&#233;rdida grave de visi&#243;n a pesar del tratamiento oftalmol&#243;gico&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La uve&#237;tis anterior es una causa de morbilidad en la AIJ&#46;La exploraci&#243;n oftalmol&#243;gica peri&#243;dica en estos pacientes es obligada para establecer el diagn&#243;stico y tratamiento precoces&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Anterior uveitis is one of the most important extra-articular manifestations of juvenile idiopathic arthritis &#40;JIA&#41;&#46; The objective was to analyze the frequency of uveitis in patients with JIA and to describe its clinical and evolutive characteristics&#46;</p> <span class="elsevierStyleSectionTitle">Patients and method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Among the 234 children diagnosed with JIA in our hospital&#44;those presenting uveitis were studied&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Seventeen children&#44; 16 girls and 1 boy&#44; presented uveitis in 28 eyes&#44; representing a prevalence of 7&#46;3 &#37;&#46; Among patients with pauci- or oligo-articular forms of the disease&#44; the percentage increased to 13&#46;3 &#37;&#59; polyarticular forms accounted for 10 &#37;&#46; Only one of the 12 patients with psoriatic arthritis developed uveitis&#46; Mean age at diagnosis of the ocular condition was 4&#46;5 years and the interval between diagnosis of arthritis to detection of uveitis was 6 &#177; 1&#46;5 months&#46; In two patients uveitis was diagnosed before arthritis&#46; Thirty-seven episodes of uveitic activity were identified&#44; of which 27 were asymptomatic&#46; Fifty-three percent of the affected eyes developed complications &#40;posterior synechias in 43 &#37;&#44; cataracts in 25 &#37;&#44; in-band keratopathy in 18 &#37; and glaucoma in 7&#37;&#41;&#46; Surgery was required in six eyes&#46; A marked loss of vision occurred in four eyes&#44; despite ophthalmologic treatment&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Anterior uveitis is a cause of morbidity in JIA&#46; Periodicophthalmologic explorations are essential for early diagnosis and treatment&#46;</p>"
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Uveítis y artritis idiopática juvenil
Uveitis and juvenile idiopathic arthritis
J. García-Consuegra Molinaa,
Autor para correspondencia
reumped@hulp.es

Correspondencia: Unidad de Reumatología Pediátrica. Hospital Universitario La Paz. P.° de la Castellana, 261. 28046 Madrid
, R. Tapia Morenoa, J. Abelairas Gómezb, J. Peralta Calvob, R. Merino Muñoza
a Unidad de Reumatología Pediátrica. Hospital Universitario La Paz. Madrid
b Servicio de Oftalmología Pediátrica. Hospital Universitario La Paz. Madrid
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La uve&#237;tis anterior es una de las manifestaciones extraarticulares m&#225;s importantes de la artritis idiop&#225;tica juvenil &#40;AIJ&#41;&#46; El objetivo de este estudio ha sido analizar la frecuencia de uve&#237;tis en pacientes con AIJ y describir sus caracter&#237;sticas cl&#237;nicas y evolutivas&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se analizaron los pacientes que presentaron uve&#237;tis entre los 234 ni&#241;os con AIJ diagnosticados en nuestro hospital&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Presentaron uve&#237;tis 17 pacientes&#44; 16 ni&#241;as y un ni&#241;o&#44; en 28 ojos&#44; lo que supone una prevalencia de 7&#44;3 &#37; en el total de ni&#241;os con AIJ&#46; Entre los pacientes con una forma pauciarticular u oligoarticular de la enfermedad el porcentaje se elev&#243; hasta el 13&#44;3 &#37; y fue del 10 &#37; en las formas poliarticulares&#46; S&#243;lo 1 de los 12 pacientes con artritis psori&#225;sica desarroll&#243; uve&#237;tis&#46; La media de edad al diagn&#243;stico de la afectaci&#243;n ocular fue de 4&#44;5 a&#241;os y el tiempo transcurrido entre el diagn&#243;stico de la artritis y el de la uve&#237;tis fue de 6 &#177; 1&#44;5 meses&#46; En 2 casos el diagn&#243;stico de uve&#237;tis precedi&#243; al de artritis&#46; Se objetivaron 37 episodios de actividad de la uve&#237;tis de los que 27 fueron asintom&#225;ticos&#46; En el 53 &#37; de los ojos afectados aparecieron complicaciones &#40;sinequias posteriores 43 &#37;&#44; cataratas 25 &#37;&#44; queratopat&#237;a en banda 18 &#37; y glaucoma 7&#37;&#41;&#46; Requirieron cirug&#237;a 6 ojos y 4 ojos presentaron una p&#233;rdida grave de visi&#243;n a pesar del tratamiento oftalmol&#243;gico&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La uve&#237;tis anterior es una causa de morbilidad en la AIJ&#46;La exploraci&#243;n oftalmol&#243;gica peri&#243;dica en estos pacientes es obligada para establecer el diagn&#243;stico y tratamiento precoces&#46;</p>"
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ISSN: 16954033
Idioma original: Español
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