NR 3/2004
SUPLEMENT


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Oczne objawy autoagresji u pacjentów z przewlekłym nieswoistym zapaleniem jelit

Ocular symptoms of autoagression in patients with non-specific chronic colitis

Marta Misiuk-Hojło1, Anna Turno-Kręcicka1, Małgorzata Piróg-Mulak1, Wanda Lubczyńska-Kowalska2

1Z Kliniki Okulistyki Akademii Medycznej we Wrocławiu
Kierownik: prof. dr hab. n. med. Maria Hanna Niżankowska
2Z Kliniki Gastroenterologii i Hepatologii Akademii Medycznej we Wrocławiu
Kierownik: prof. dr hab. n. med. Leszek Paradowski

Summary: Purpose: of this research was to present a prospective estimation of the ocular symptoms appearance in a group of patients with ulcerous colitis (CU) or Crohn disease (CD). It was also, to demonstrate dependence between the frequency, intensity, and duration of the main disease and the way of its treatment. The research program established a retrospective analysis of symptoms presented typically in non-specific colitis in a group of patients with recurrence acute iridocyclitis (IA) and HLA B27 positive.
Materials and methods: The research group contained 63 patients: 51 with CU and 12 with CD. Clinical symptoms and inflammatory indicators such as CRP, OB, pulse, and body temperature were taken into consideration by designation of intensity of main disease. Second group contained 28 patients with IA and duration of CU or CD symptom was analyzed in it.
Results: Symptoms of iridocyclitis acute non granulomatous were observed in 7,9% of cases. In 6,3% episcleritis was diagnosed and in one patient with CU scleritis (1,5%). In the second group of patients only in one case (3,5%) typical symptoms for chronic colitis were presented.
Conclusions: In patients with non-specific chronic colitis careful ophthalmological examination should be performed, especially oriented for uveitis diagnosis.
Słowa kluczowe:  ostre zapalenie tęczówki, zapalenie nadtwardówki, zapalenie twardówki, nieswoiste zapalenie jelit, choroba autoimmunologiczna.
Key words: iridocyclitis acute, episcleritis, scleritis, idiopathic inflammatory bowel disease, autoimmune disease.



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