Uveitis in seronegative arthritis

Curr Rheumatol Rep. 2012 Oct;14(5):402-8. doi: 10.1007/s11926-012-0267-1.

Abstract

Uveitis is the most frequent extra-articular feature in seronegative arthritis and is part of the classification criteria for spondyloarthritis. Recent studies confirm a prevalence of up to one third of patients with spondyloarthritis and a relationship with HLA-B27 and disease duration. In recent forms of the disease, a relation with infectious episodes, inflammatory bowel disease, and cervical spine involvement has been reported. Many data argue for the implication of the IL23/IL17 pathway in uveitis, already obvious in spondyloarthritis. Studies with NSAIDs, DMARDs, and anti-TNF agents demonstrated the ability of these treatments to reduce the incidence of flares of uveitis in spondyloarthritis. Only a few data are available with other biologic agents. New onset of uveitis during anti-TNF therapy has been reported. The Il-17 blockade may be a new option for treating both uveitis and the underlying rheumatic condition.

Publication types

  • Review

MeSH terms

  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Antibodies, Monoclonal / therapeutic use
  • Antirheumatic Agents / therapeutic use
  • Biological Factors / therapeutic use
  • Biological Products
  • Clinical Trials as Topic
  • HLA-B27 Antigen / genetics
  • Humans
  • Immunologic Factors / blood*
  • Interleukin-17 / antagonists & inhibitors
  • Rheumatoid Factor / blood*
  • Spondylarthritis / complications
  • Spondylarthritis / diagnosis*
  • Spondylarthritis / drug therapy
  • Spondylarthritis / immunology
  • Treatment Outcome
  • Tumor Necrosis Factor-alpha / antagonists & inhibitors
  • Uveitis / complications
  • Uveitis / diagnosis*
  • Uveitis / drug therapy
  • Uveitis / immunology

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Antibodies, Monoclonal
  • Antirheumatic Agents
  • Biological Factors
  • Biological Products
  • HLA-B27 Antigen
  • Immunologic Factors
  • Interleukin-17
  • Tumor Necrosis Factor-alpha
  • Rheumatoid Factor