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| anterior_uveitis_ddx [2025/02/03 01:45] – Scott Larson | anterior_uveitis_ddx [2025/04/18 20:40] (current) – external edit 127.0.0.1 | ||
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| Line 6: | Line 6: | ||
| * post-surgical (P. Acnes) | * post-surgical (P. Acnes) | ||
| * herpes viruses | * herpes viruses | ||
| - | * Traumatic | + | * Post-traumatic |
| * Fuchs heterochromic iridocyclitis | * Fuchs heterochromic iridocyclitis | ||
| * Lens-related | * Lens-related | ||
| Line 14: | Line 14: | ||
| * [[jia_screening|Juvenile Idiopathic Arthritis]] | * [[jia_screening|Juvenile Idiopathic Arthritis]] | ||
| * [[behcets|Behçet syndrome]] | * [[behcets|Behçet syndrome]] | ||
| - | * Tubular Interstitial | + | * [[tubulointerstitial_nephritis_uveitis|Tubulointerstitial |
| * Sarcoidosis | * Sarcoidosis | ||
| * Kawasaki syndrome | * Kawasaki syndrome | ||
| Line 32: | Line 32: | ||
| * Consider working up for: | * Consider working up for: | ||
| * Sarcoidosis | * Sarcoidosis | ||
| - | * angiotensin-converting enzyme (ACE) serum and lysozyme levels | + | |
| * followed by chest x-ray | * followed by chest x-ray | ||
| * followed by Chest CT | * followed by Chest CT | ||
| * Syphilis | * Syphilis | ||
| * Non-treponemal testing | * Non-treponemal testing | ||
| - | * RPR -or- | + | |
| * VDRL | * VDRL | ||
| * Followed by treponemal testing | * Followed by treponemal testing | ||
| Line 43: | Line 43: | ||
| * Treponema pallidum particle agglutination (TPPA) | * Treponema pallidum particle agglutination (TPPA) | ||
| * Tuberculosis | * Tuberculosis | ||
| - | * Serum QuantiFERON Gold or PPD | + | |
| * Herpes viruses | * Herpes viruses | ||
| - | * HSV IgG and IgM | + | |
| - | * VZV IgG and IgM | + | * VZV PCR |
| - | * JIA without significant arthritis | + | * JIA without significant arthritis- **ANA** |
| * TINU | * TINU | ||
| - | * urinary β2 microglobulin | + | |
| - | * BUN, Creatinine | + | |
| - | * urinalysis (looking for proteinuria, | + | |
| * Lyme titers in endemic areas or travel to endemic areas | * Lyme titers in endemic areas or travel to endemic areas | ||
| - | * Lyme IgG and IgM | + | |
| * HLA-B27 in teenagers | * HLA-B27 in teenagers | ||
| * Mascarade diseases (leukemia, lymphoma) | * Mascarade diseases (leukemia, lymphoma) | ||
| - | * CBC | + | |
| ====Work up based on history and exam findings==== | ====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 | * Previous Strep throat (group A strep infection suspected | ||
| - | * Antistreptolysin O titers | + | * Antistreptolysin O titers |
| + | |||
| ====Masquerades of Anterior Uveitis==== | ====Masquerades of Anterior Uveitis==== | ||
| * Leukemia | * Leukemia | ||