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An Algorithm for the Diagnosis of Behçet Disease Uveitis in Adults.

Authors :
Tugal-Tutkun, Ilknur
Onal, Sumru
Stanford, Miles
Akman, Mehmet
Twisk, Jos W.R.
Boers, Maarten
Oray, Merih
Özdal, P.
Kadayifcilar, Sibel
Amer, Radgonde
Rathinam, Sivakumar R.
Vedhanayaki, Rajesh
Khairallah, Moncef
Akova, Yonca
Yalcindag, F.
Kardes, Esra
Basarir, Berna
Altan, Çigdem
Özyazgan, Yilmaz
Gül, Ahmet
Source :
Ocular Immunology & Inflammation. 2021, Vol. 29 Issue 6, p1154-1163. 10p.
Publication Year :
2021

Abstract

Purpose: To develop an algorithm for the diagnosis of Behçet's disease (BD) uveitis based on ocular findings. Methods: Following an initial survey among uveitis experts, we collected multi-center retrospective data on 211 patients with BD uveitis and 207 patients with other uveitides, and identified ocular findings with a high diagnostic odds ratio (DOR). Subsequently, we collected multi-center prospective data on 127 patients with BD uveitis and 322 controls and developed a diagnostic algorithm using Classification and Regression Tree (CART) analysis and expert opinion. Results: We identified 10 items with DOR >5. The items that provided the highest accuracy in CART analysis included superficial retinal infiltrate, signs of occlusive retinal vasculitis, and diffuse retinal capillary leakage as well as the absence of granulomatous anterior uveitis or choroiditis in patients with vitritis. Conclusion: This study provides a diagnostic tree for BD uveitis that needs to be validated in future studies. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
09273948
Volume :
29
Issue :
6
Database :
Academic Search Index
Journal :
Ocular Immunology & Inflammation
Publication Type :
Academic Journal
Accession number :
154758255
Full Text :
https://doi.org/10.1080/09273948.2020.1736310