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Pauciarticular onset Type 1 in girls associated with negative or positive ANA & RF.
Pauciarticular onset Type 2 in older boys
associated with HLA
What is the differential of JRA
- Fuchs Heterochromic iridocyclitis
- Seronegative spondyloarpathies
- Herpes Uveitis
- Lyme Dz
Follow up less 7 years
- All ANA+ <7yrs 3-4 months
- All ANA- <7yrs 6 months
- All Systemic regardless of age q12 months
- All > 7yrs regardless of ANA satus q6 months except systemic
In Fuchs Heterochromic Iridocyclitis which eye is the affected based on iris and what is the exception to the rule
lighter eye is the affected eye, except in blue eye it is the darker eye.
In Fuchs Heterochromic Iridocyclitis what does the path show in the CB
What findings denotes Fuchs Heterochromic Iridocyclitis as the diagnosis?
- lack of synchaie
- lack of symptoms (dont know there is a problem until vision drops)
Fuchs Heterochromic Iridocyclitis treatment
steroids dont really work well. no aggressive treatment indicated
Dx of Heterochromia
- FB- metallic siderosis
- iris nevus melanoma
- Fuchs Heterochromic Iridocyclitis
Dx of pars planitis
- Human T-cell lymphotropic virus type 1
Age distribution of pars planitis
5-15 & 25-35
associated HLA and dz with pars planitis
HLA DR15 /MS
Key exam findings in pars planitis
- Peripheral retinal periphlebitis
- Hyperemic disc
What are snowballs, snowbanks, peripheral retinal veins?
- Snowballs-epitheliod cells & multinucleated giants cells
- Snowbanks-pre-retinal membrane of fibroglial and vascular elements
- Peripheral retinal veins-perivasular cuff of lymphocytes
What would you like to do?
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