Uveítis y enfermedad sistémicaaproximación clínico-diagnóstica enurgencia hospitalaria

  1. Martínez Piñero, A.
  2. Trujillo Martín, Elisa
  3. Burillo Putze, Guillermo
  4. Batista Perdomo, Daniel
  5. Hernández Sánchez, M. J.
Archivos de la Sociedad Canaria de Oftalmología

ISSN: 0211-2698

Year of publication: 1986

Issue: 9

Pages: 101-105

Type: Article

More publications in: Archivos de la Sociedad Canaria de Oftalmología


Purpose: The relationship between uveitis and systemic disease at Emergency Department (ED) remains unknown. From a multidisciplinary approach, we study its clinical features. Methods: Patients attended at ED of Hospital Universitario de Canarias, Tenerife, Spain, from January 1996 to December 1997, with initial diagnostic of uveitis. We analysed retrospectively their epidemiological and clinical features, and the relationship of initial diagnosis at ED, with final diagnostic at the Rheumatology and Ophthalmology Departments. Statistical analysis was performed by SPSS 7.5 for windows program. Results: During the study period 71patients were included ( 0.048 % of visits to ED ). Sixty four point eight percent were female ( mean age 45.89 years ), and male presents 36.79 years as mean age. There weren't signifficative difference. Seventeen point one percent patients were diagnosticated as Ophthalmologic Specific Syndromes, 35.2% as Idiopathic uveitis, 28.3% as Anterior Uveitis associated with HLA B27 and 19.4% as Secondary Uveitis. Only 10.52 percent patients were studied by Rheymatologist, despite HLA study were performed in 29.9 percent of patients, with positive results in 64.7 percent or them. Conclusions: In most cases, a clinical history, physical exam and basic blood analysis it's enough in the first diagnosis of uveitis. Due to the high relation between uveitis and systemic disease, multidisciplinary study protocols are necessary for the final diagnostic.