抽象的
葡萄膜炎通常是结节病的表现。然而,不太公认的是在诊断系统结节病前几年的葡萄膜炎的发展。葡萄膜炎呈现的可能性是从未被调查过的葡萄膜炎的标志物。这项工作的目的是在高加索人群中评估葡萄膜炎的流行病学,作为结节病的主要表现,长期随访,以及葡萄炎与结节病的慢性的关系。综述了1976年至1999年期间首次见过的1,156名高加索人患者的组织学验证结节病的患者。在葡萄膜炎是结节病的主要特征的患者中,确定了以下参数:系统表现物;葡萄膜炎诊断与结节病之间的时间间隔;治疗;随着时间的推移胸部放射线图像的演变;慢性; the relationship between sarcoidosis and uveitis; and, finally, status in October 1994. In nine patients, uveitis was the reason for seeking medical treatment, resulting in the discovery of systemic sarcoidosis, which was then found to be chronic in 7 out of 9 cases. In an additional eight patients, uveitis preceded the diagnosis of systemic sarcoidosis by 1-11 yrs, and yet most subjects had systemic manifestations that went unrecognized during this time period, with chest radiograph at the time of diagnosis suggesting a long-standing chronic disease. Thus, uveitis appeared to be the primary manifestation of sarcoidosis in 17 of the 1,156 patients studied (1.5%). In conclusion, any uveitis of unknown origin may be due to sarcoidosis, although its systemic manifestations may not occur for up to 11 yrs. Uveitis patients need a very long-term follow-up, including periodic diagnostic tests for systemic sarcoidosis. Furthermore, when uveitis precedes the systemic symptoms and diagnosis of sarcoidosis by more than one year, it may be regarded as a marker of the chronicity of sarcoidosis.