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Clinical and Epidemiological Profiles of Retinal Vasculitis in Northern Taiwan
- Source :
- Ocular immunology and inflammation. 30(2)
- Publication Year :
- 2020
-
Abstract
- To investigate the epidemiological and clinical profiles in retinal vasculitis in an Asian cohort.A 5-year retrospective study of 487 uveitis patients in a tertiary referral center at northern Taiwan.Overall, 18.5% of the cases were associated with retinal vasculitis (RV). Sarcoidosis and cytomegalovirus retinitis were two leading diagnoses. Cases with RV were younger (mean: 39.7 years), less unilateral (50%), and had more chorioretinal involvement (95.5%). Definite diagnosis was reached in 86.7% of RV cases, of which 38.5% had infectious uveitis. While sole arteritis was presented in 8.9% of cases, 63.3% showed phlebitis, and 27.8% involved both. Three distinctive patterns were associated with a higher likelihood of infection: nodular sheathing, continuous perivascular sheathing (OR 4.79), and continuous fluorescein leakage (OR 4.11).The presence of RV, especially arteritis, is highly suggestive of identifiable etiology. Distinctive clinical patterns help differentiation of infectious versus noninfectious causes.
- Subjects :
- medicine.medical_specialty
Taiwan
Uveitis
03 medical and health sciences
0302 clinical medicine
Epidemiology
Immunology and Allergy
Medicine
Humans
Arteritis
Fluorescein Angiography
Retrospective Studies
030203 arthritis & rheumatology
Retinal Vasculitis
Retina
business.industry
Retinal vasculitis
Retrospective cohort study
medicine.disease
Dermatology
humanities
Ophthalmology
medicine.anatomical_structure
Cohort
030221 ophthalmology & optometry
Referral center
business
Subjects
Details
- ISSN :
- 17445078
- Volume :
- 30
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Ocular immunology and inflammation
- Accession number :
- edsair.doi.dedup.....458e8e26f866d4b6a0663b982ae90a33