Tuberculosis and other causes of uveitis in Indonesia
| العنوان: | Tuberculosis and other causes of uveitis in Indonesia |
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| المؤلفون: | Soedarman Sjamsoe, Made Susiyanti, Ratna Sitompul, Lukman Edwar, Aniki Rothova, Marleen Bakker, Gurmeet Singh, M. van Hagen, R La Distia Nora |
| المساهمون: | Internal Medicine, Pulmonary Medicine, Ophthalmology |
| المصدر: | Eye-Transactions of the Ophthalmological Societies of the United Kingdom, 32(3), 546-554. Nature Publishing Group |
| بيانات النشر: | Nature Publishing Group, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Tuberculosis, Visual Acuity, Cohort Studies, Uveitis, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Tuberculosis diagnosis, SDG 3 - Good Health and Well-being, medicine, Humans, 030212 general & internal medicine, Prospective Studies, Young adult, Prospective cohort study, Aged, Analysis of Variance, business.industry, Panuveitis, Middle Aged, medicine.disease, Dermatology, Toxoplasmosis, Ophthalmology, Indonesia, 030221 ophthalmology & optometry, Clinical Study, Female, business, Interferon-gamma Release Tests, Cohort study |
| الوصف: | PURPOSE: The purpose of this study is to assess the causes of uveitis in Indonesia and determine the importance of tuberculosis (TB) as a cause of uveitis. PATIENTS AND METHODS: Prospective cohort study examining 146 consecutive new human immunodeficiency virus-negative patients with active uveitis between June 2014 and May 2015. We assessed the anatomic locations and specific causes of uveitis, as well as associations with infectious and non-infectious systemic diseases. We determined the prevalence of positive QuantiFERON Tb Gold test (QFT) results in Indonesian patients with uveitis and calculated the number of patients with active systemic TB. RESULTS: Posterior and panuveitis were the most common anatomic entities (38% each). Infections represented the most frequent cause of uveitis (33%); the most prevalent were toxoplasmosis (19%) and active systemic TB (8%). The majority of patients were QFT positive (61%). A specific diagnosis could not be established in 45% of the patients. At first presentation to the ophthalmologist, the majority of patients (66%) had a visual acuity of less than finger counting at 3 m and already exhibited various complications of uveitis. When classifying the QFT-positive patients with unexplained uveitis into a TB-related group, the percentage of ‘TB-associated’ uveitis cases increased from 8–48%. Highly elevated QFT levels were observed in patients with uveitis of unknown cause and no signs of active systemic TB. CONCLUSIONS: In Indonesia, infectious uveitis was the most common type of uveitis and the leading causes consisted of toxoplasmosis and TB. The association observed between highly elevated QFT results and uveitis of otherwise unexplained origins indicates that a link exists between the latent TB infection and the development of uveitis. |
| تدمد: | 1476-5454 0950-222X |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::75ed1b65aab37b3ad4b25ff95ae70fa9Test https://pure.eur.nl/en/publications/e4fd10f9-c878-4df8-aaa6-ae7b94a9f8ebTest |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....75ed1b65aab37b3ad4b25ff95ae70fa9 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14765454 0950222X |
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