Pediatric rheumatology

Involvement of the systemic microcirculation in pediatric uveitis

Pediatr Rheumatol Online JPublished Case-control study

Authors' conclusion

Children with uveitis without systemic disease can present with changes in systemic microcirculation. These changes vary amongst the subtypes of uveitis.

Study context

Population
Children with noninfectious uveitis (mean age 13.7 years; 56% female; 46% anterior, 18% intermediate, 36% panuveitis; mean disease duration 4.7 years) and healthy pediatric controls
Participants
119 vs 25
Comparison
Children with noninfectious uveitis vs healthy pediatric controls
  • Pediatric uveitisn = 119
  • Healthy controlsn = 25reference
Outcome
NFC parameters: capillary density, dilated capillaries (apex > 20 µm), avascular area, microhemorrhages, capillary morphology
Methodological detailsregression analysis adjusted for age and sex
  • Regression analysis adjusted for age and sex

Main finding

As reported in the abstract

NFC parameters, cases vs controls
  • Significantly higher number of dilated capillaries/mm in uveitis cases vs controls
  • Higher prevalence of ramified capillaries in uveitis cases vs controls
  • Adjusted for age and sex

Observational data: associations, not effects.

Further findings

Nailfold capillaroscopy (NFC) parameters by uveitis subtype vs controls

Intermediate uveitis: significantly higher number of dilated capillaries
Anterior uveitis: lower capillary density and higher prevalence of ramified capillaries

Original publication

Involvement of the systemic microcirculation in pediatric uveitis. Pediatr Rheumatol Online J. Published 2 October 2023. doi:10.1186/s12969-023-00896-7

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