French recommendations for the management of non-infectious chronic uveitis.

Details

Serval ID
serval:BIB_769001F67209
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
French recommendations for the management of non-infectious chronic uveitis.
Journal
La Revue de medecine interne
Author(s)
Quartier P., Saadoun D., Belot A., Errera M.H., Kaplanski G., Kodjikian L., Kone-Paut I., Miceli-Richard C., Monnet D., Audouin-Pajot C., Seve P., Uettwiller F., Weber M., Bodaghi B.
Working group(s)
Collaborators
Contributor(s)
Abad S., Bayen M., Bielefeld P., Chalumeau M., Chiquet C., Cohen J.D., Despert V., Devilliers H., Fardeau C., Georgin-Lavialle S., Guex-Crosier Y., Guillaume Czitrom S., Heron E., Hofer M., Agbo Kpati K.P., Labalette P., Lemelle I., Nouar D., Pugnet G., Sellam J., Sene D., Terrier B., Trad G.S.
ISSN
1768-3122 (Electronic)
ISSN-L
0248-8663
Publication state
Published
Issued date
05/2023
Peer-reviewed
Oui
Volume
44
Number
5
Pages
227-252
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
This French National Diagnostic and Care Protocol (NDPC) includes both pediatric and adult patients with non-infectious chronic uveitis (NICU) or non-infectious recurrent uveitis (NIRU). NICU is defined as uveitis that persists for at least 3 months or with frequent relapses occurring less than 3 months after cessation of treatment. NIRU is repeated episodes of uveitis separated by periods of inactivity of at least 3 months in the absence of treatment. Some of these NICU and NIRU are isolated. Others are associated with diseases that may affect various organs, such as uveitis associated with certain types of juvenile idiopathic arthritis, adult spondyloarthropathies or systemic diseases in children and adults such as Behçet's disease, granulomatoses or multiple sclerosis. The differential diagnoses of pseudo-uveitis, sometimes related to neoplasia, and uveitis of infectious origin are discussed, as well as the different forms of uveitis according to their main anatomical location (anterior, intermediate, posterior or panuveitis). We also describe the symptoms, known physiopathological mechanisms, useful complementary ophthalmological and extra-ophthalmological examinations, therapeutic management, monitoring and useful information on the risks associated with the disease or treatment. Finally, this protocol presents more general information on the care pathway, the professionals involved, patient associations, adaptations in the school or professional environment and other measures that may be implemented to manage the repercussions of these chronic diseases. Because local or systemic corticosteroids are usually necessary, these treatments and the risks associated with their prolonged use are the subject of particular attention and specific recommendations. The same information is provided for systemic immunomodulatory treatments, immunosuppressive drugs, sometimes including anti-TNFα antibodies or other biotherapies. Certain particularly important recommendations for patient management are highlighted in summary tables.
Keywords
Adult, Humans, Child, Uveitis/diagnosis, Uveitis/epidemiology, Uveitis/etiology, Behcet Syndrome/complications, Adrenal Cortex Hormones/therapeutic use, Immunosuppressive Agents/therapeutic use, Multiple Sclerosis/complications, Anti TNFa, Behçet, Behçet's, Biotherapies, Biothérapies, Sarcoidose, Sarcoidosis, Uveitis, Uvéite, Vascularites, Vasculitis
Pubmed
Create date
23/05/2023 15:14
Last modification date
20/07/2023 6:57
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