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Anterior uveitis in patients with spondyloarthropathies in a single US academic center: a retrospective study

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Abstract

Uveitis may represent an opportunity to diagnose spondyloarthropathies (SpA) earlier and influence treatment decisions. We describe the percentage of acute anterior uveitis (AAU) in a diverse group of SpA patients seen at one academic setting and compare demographic and clinical characteristics according to the presence of uveitis. We conducted a retrospective study of patients with SpA and AAU (January 2016–June 2017). Patients were identified using ICD-10 and administrative claim codes, diagnoses were confirmed through chart review. Extracted data included demographics, laboratory, clinical data, treatment and Routine Assessment of Patient Index Data 3 (RAPID3) scores based on Multidimensional Health Assessment Questionnaire (MDHAQ). Baseline description and comparison between the two groups were performed. We included 190 patients, mostly men (59.5%), with a mean age of 45.9 years: 48% with ankylosing spondylitis (AS), 26% with psoriatic arthritis (PsA), 22% with undifferentiated SpA, and 4% with SpA associated with inflammatory bowel disease (IBD). Uveitis was identified in 17% of patients, ranging from 25% in AS to 4% in PsA. Time from symptom onset to SpA diagnosis was longer in patients with uveitis (10.9 versus 5.9 years, p < 0.001). A higher percentage of patients with uveitis were HLA-B27 positive (85% versus 67%, p = 0.02). The prevalence of uveitis in our population was 17%, slightly lower than previously reported in the literature. There was a diagnostic delay of about 7 years, significantly longer in patients with uveitis. New screening strategies in collaboration with ophthalmology may lead to earlier diagnosis and better outcomes.

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Funding

This research was supported by internal funding and did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Divison of Rheumatology, Rush University Medical Center, 1161 West Harrison Street, Suite 510, Chicago, IL, 60612, USA

    Ofelya Gevorgyan, Mariam Riad, Joel A. Block & Isabel Castrejon

  2. Ophthalmology Department, Rush University Medical Center, 1725 W Harrison St, Chicago, IL, 60612, USA

    Rebecca D. Sarran & Pauline T. Merrill

Authors
  1. Ofelya Gevorgyan
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  2. Mariam Riad
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  4. Pauline T. Merrill
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  6. Isabel Castrejon
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Correspondence to Isabel Castrejon.

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O. Gevorgyan: none; M. Riad: none; R. D. Sarran: none; P. T. Merrill: AbbVie Inc. and Gilead; J. A. Block: none; I. Castrejon: none.

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Gevorgyan, O., Riad, M., Sarran, R.D. et al. Anterior uveitis in patients with spondyloarthropathies in a single US academic center: a retrospective study. Rheumatol Int 39, 1607–1614 (2019). https://doi.org/10.1007/s00296-019-04386-6

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  • DOI: https://doi.org/10.1007/s00296-019-04386-6

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