Uveitis: Difference between revisions
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==Background== |
==Background== |
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*Inflammation of the uvea, which comprises the iris, ciliary body, and choroid, or of the retina |
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**Anterior: iritis, iridocyclitis |
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**Intermediate: pars planitis |
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**Posterior: choroiditis, retinitis, chorioretinitis |
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**Panuveitis |
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==Differential Diagnosis== |
==Differential Diagnosis== |
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===Infectious causes=== |
===Infectious causes=== |
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*Anterior uveitis (10% infectious) |
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**[[Herpes simplex virus]] (by far the most common infectious cause) |
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**[[Varicella-zoster virus]] |
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**[[Syphilis]] |
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**[[Tuberculosis]] |
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**[[Lyme disease]] |
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**[[Leprosy]] |
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*Intermediate uveitis (rarely infectious) |
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**[[Lyme disease]] |
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* Posterior uveitis (50% infectious) |
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**[[Toxoplasmosis]] |
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**[[Acute retinal necrosis]] from [[HSV]], [[VZV]], and [[CMV]] |
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**[[CMV]] retinitis, in immunocompromised patients |
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** [[Toxocara]] |
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**[[Toxocara]] |
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**[[Syphilis]] |
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**[[Cat-scratch disease]] |
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**[[Candida]] endophthalmitis |
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**[[West Nile virus]], causing a multifocal chorioretinitis |
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*Panuveitis |
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** [[Syphilis]] |
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**[[Syphilis]] |
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**[[Tuberculosis]] |
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**[[Candida]] endophthalmitis |
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**[[Leptospirosis]], without retinal or choroidal lesions |
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*Other |
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**[[Brucella]], causing a chronic relapsing uveitis that is typically posterior but can be anterior or panuveitis[[CiteRef::rolando2008oc]] |
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** [[Chikungunya]] |
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**[[Chikungunya]] |
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**[[Ebola virus]] |
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== Clinical Manifestations == |
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* Anterior: painful red eye and vision loss |
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* Intermediate: vision loss with floaters, usually painless (and rarely infectious) |
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* Posterior: painless vision loss |
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[[Category:Ophthalmology]] |
[[Category:Ophthalmology]] |
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[[Category:Infectious diseases]] |
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[[Category:Eye infections]] |
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Latest revision as of 14:38, 12 August 2020
Background
- Inflammation of the uvea, which comprises the iris, ciliary body, and choroid, or of the retina
- Anterior: iritis, iridocyclitis
- Intermediate: pars planitis
- Posterior: choroiditis, retinitis, chorioretinitis
- Panuveitis
Differential Diagnosis
Infectious causes
- Anterior uveitis (10% infectious)
- Herpes simplex virus (by far the most common infectious cause)
- Varicella-zoster virus
- Syphilis
- Tuberculosis
- Lyme disease
- Leprosy
- Intermediate uveitis (rarely infectious)
- Posterior uveitis (50% infectious)
- Toxoplasmosis
- Acute retinal necrosis from HSV, VZV, and CMV
- CMV retinitis, in immunocompromised patients
- Toxocara
- Syphilis
- Cat-scratch disease
- Candida endophthalmitis
- West Nile virus, causing a multifocal chorioretinitis
- Panuveitis
- Syphilis
- Tuberculosis
- Candida endophthalmitis
- Leptospirosis, without retinal or choroidal lesions
- Other
- Brucella, causing a chronic relapsing uveitis that is typically posterior but can be anterior or panuveitis1
- Chikungunya
- Ebola virus
- Zika virus
Clinical Manifestations
- Anterior: painful red eye and vision loss
- Intermediate: vision loss with floaters, usually painless (and rarely infectious)
- Posterior: painless vision loss
References
- ^ Isaias Rolando, Liset Olarte, Gustavo Vilchez, Marina Lluncor, Larissa Otero, Mark Paris, Carlos Carrillo, Eduardo Gotuzzo. Ocular Manifestations Associated with Brucellosis: A 26βYear Experience in Peru. Clinical Infectious Diseases. 2008;46(9):1338-1345. doi:10.1086/529442.
