Uveitis Associated with Rheumatic Conditions Insights from Sheikh Shakhbout Medical City
Understanding Uveitis in Pediatric Rheumatology
Uveitis is a significant inflammatory condition affecting the uveal tract of the eye, which includes the iris, choroid, and retina. In pediatric patients, particularly those with rheumatic diseases like Juvenile Idiopathic Arthritis (JIA), uveitis represents a serious complication that can lead to vision loss if not diagnosed and treated promptly. At Sheikh Shakhbout Medical City (SSMC), the Division of Pediatric Rheumatology focuses on understanding and managing this condition effectively.
The Link Between Rheumatic Conditions and Uveitis
Juvenile Idiopathic Arthritis (JIA) is the most prevalent rheumatic disease in children, with uveitis being its most common extra-articular manifestation. Research indicates that approximately
30% of children with oligoarticular JIA develop uveitis, highlighting the need for vigilant screening and management strategies
. This autoimmune condition can lead to chronic inflammation of the eye, often presenting as asymptomatic chronic anterior uveitis, which poses a risk of severe complications such as cataracts and glaucoma if left untreated
Clinical Features and Diagnosis
Uveitis can manifest in various forms, primarily as:
- Chronic Anterior Uveitis: Often asymptomatic but can lead to significant ocular damage.
- Acute Anterior Uveitis: Usually symptomatic, presenting with eye pain, redness, and visual disturbances.
Given that children may not communicate their symptoms effectively, regular screening for uveitis is essential in all patients diagnosed with JIA. Early detection can significantly improve outcomes and reduce the risk of long-term complications
Management Strategies at SSMC
The management of uveitis associated with rheumatic conditions involves a multidisciplinary approach that includes:
- Regular Ophthalmological Assessments: All children suspected of having JIA should undergo timely evaluations by ophthalmologists to detect uveitis early.
- Individualized Treatment Plans: Treatment may include corticosteroids and immunosuppressive agents tailored to the severity and type of uveitis.
- Patient Education: Families are educated about the signs of uveitis to promote early reporting and intervention.
At Sheikh Shakhbout Medical City, the Division of Pediatric Rheumatology is dedicated to enhancing the understanding and management of uveitis associated with rheumatic conditions. By implementing comprehensive screening protocols and individualized treatment strategies, SSMC aims to mitigate the risks associated with this potentially sight-threatening condition in children. Regular follow-ups and education play crucial roles in ensuring optimal health outcomes for pediatric patients with JIA and related uveitis.
Why choose SSMC?
A Multidisciplinary Approach to Pediatric Rheumatology
Our Division of Pediatric Rheumatology is led by experienced consultants who specialize in diagnosing and treating a wide range of autoimmune and autoinflammatory diseases in children. We take a comprehensive, patient-centered approach, working closely with a multidisciplinary team of experts to provide the highest quality care.
State-of-the-Art Technology and Innovative Treatments
SSMC is equipped with advanced technology and offers unique treatment options for pediatric rheumatology patients:
Specialized Procedures
- Intra-articular Injections: We administer intra-articular triamcinolone hexacetonide injections, a long-acting steroid, to treat joint inflammation in children. These injections can be performed in our clinic or under general anesthesia, depending on the child's needs.
- Day Care Infusions: We provide day care infusion services for a variety of treatments, including intravenous steroids, biologics, chemotherapy, rituximab, IVIG, and bisphosphonates. These treatments are tailored to each child's specific condition and administered under the supervision of our experienced team.
Comprehensive Diagnostic Services
- Recurrent Fever Syndrome Evaluation: We offer thorough assessments to identify the underlying causes of recurrent fever syndrome in children. Our team utilizes advanced diagnostic tools and techniques to accurately diagnose and manage this complex condition.
By combining expert care, cutting-edge technology, and a patient-centered approach, SSMC is committed to providing the best possible outcomes for children with pediatric rheumatic diseases
