Differences
This shows you the differences between two versions of the page.
| Both sides previous revision Previous revision Next revision | Previous revision | ||
| anterior_uveitis_ddx [2024/02/14 04:15] – Scott Larson | anterior_uveitis_ddx [2025/04/18 20:40] (current) – external edit 127.0.0.1 | ||
|---|---|---|---|
| Line 2: | Line 2: | ||
| ==== Causes ==== | ==== Causes ==== | ||
| - | * JRA-related iridocyclitis | + | * Primarily Ocular |
| - | * Behçet syndrome | + | * Infectious |
| - | * Fuchs heterochromic iridocyclitis | + | * post-surgical (P. Acnes) |
| - | * Glaucomacyclitic crisis (Posner Schlossman) | + | * herpes viruses |
| - | * Herpetic iritis | + | * Post-traumatic iritis |
| - | * Idiopathic | + | |
| - | * IOL- related | + | * Lens-related |
| - | * Kawasaki syndrome | + | * IOL related |
| - | * Lens related Uveitis | + | |
| - | * Low-grade infectious endophthalmitis | + | * Systemic Non-infectious Disease |
| - | * Sarcoidosis | + | * [[jia_screening|Juvenile |
| - | * Seronegative spondyloarthropathies | + | * [[behcets|Behçet syndrome]] |
| - | * Syphilis | + | * [[tubulointerstitial_nephritis_uveitis|Tubulointerstitial Nephritis and Uveitis (TINU)]] |
| - | * Traumatic iritis | + | * Sarcoidosis |
| + | * Kawasaki syndrome | ||
| + | * Juvenile onset spondyloarthropathies (HLA-B27 associated) | ||
| + | * Juvenile Ankylosing spondilitis | ||
| + | * Reactive arthritis | ||
| + | * Inflammatory Bowel disease | ||
| + | * Psoriatic arthritis | ||
| + | * Systemic Infectious Diseases | ||
| + | * Post Infectious Autoimmune uveitis (streptococcal pharyngitis) | ||
| + | * Herpes Viruses (VZV, HSV) | ||
| + | * Syphilis | ||
| + | * Tuberculosis | ||
| + | * Lyme | ||
| + | |||
| + | ==== Work-up for cases without an obvious cause ==== | ||
| + | * Consider working up for: | ||
| + | * Sarcoidosis | ||
| + | * **angiotensin-converting enzyme (ACE)** and serum lysozyme levels | ||
| + | * followed by chest x-ray | ||
| + | * followed by Chest CT | ||
| + | * Syphilis | ||
| + | * Non-treponemal testing | ||
| + | * **RPR** -or- | ||
| + | * VDRL | ||
| + | * Followed by treponemal testing | ||
| + | * fluorescent treponemal antibody absorption (FTA-ABS) -or- | ||
| + | * Treponema pallidum particle agglutination (TPPA) | ||
| + | * Tuberculosis | ||
| + | * **Serum QuantiFERON Gold** or PPD | ||
| + | * Herpes viruses | ||
| + | * **HSV PCR** | ||
| + | * VZV PCR | ||
| + | * JIA without significant arthritis- **ANA** | ||
| + | * TINU | ||
| + | * **urinary β2 microglobulin** | ||
| + | * **BUN, Creatinine** | ||
| + | * **urinalysis** (looking for proteinuria, | ||
| + | * Lyme titers in endemic areas or travel to endemic areas | ||
| + | * **Lyme DNA PCR** or Lyme Disease AB Western Blot | ||
| + | | ||
| + | * Mascarade diseases | ||
| + | * **CBC** | ||
| + | ====Work up based on history and exam findings==== | ||
| + | |||
| + | * Arthritis | ||
| + | * ANA | ||
| + | * Joint pain with chronic diarrhea and abdominal pain | ||
| + | * HLA-B27 | ||
| + | * Rash | ||
| + | * Psoriasis | ||
| + | * rash areas are red, pink, or purple, dry, itchy, and scaly | ||
| + | * associated with arthritis | ||
| + | * Lyme | ||
| + | * erythema migrans | ||
| + | * red, blue or pink circular or oval with clear center, expands over several days, may reach up to 12 inches and have a raised border | ||
| + | * Travel to endemic areas, exposure to ticks | ||
| + | * Borrelia burgdorferi antibodies IgG, IgM | ||
| + | * Fever, Weight loss, fatigue, malaise, abdominal pain | ||
| + | * urinary β2 microglobulin, | ||
| + | * Previous Strep throat (group A strep infection suspected | ||
| + | * Antistreptolysin O titers | ||
| + | |||
| + | ====Masquerades of Anterior Uveitis==== | ||
| + | * Leukemia | ||
| + | * [[retinoblastoma_international_classification|Retinoblastoma]] | ||
| + | * Juvenile Xanthogranuloma | ||
| ==== References ==== | ==== References ==== | ||
| - | * [[https:// | + | * [[https:// |
| - | {{tag> | + | {{tag> |