Table 4. Differentiating Characteristics Helpful in Diagnosing the Uveitic Child

 

 

JIA

SPONDYLOARTHROPATHY

INFECTIOUS/OTHER

 

Demographics

·         Sex

 

·         Onset age

 

·         Race

 

 

·         Environmental, geographical, infectious disease, travel exposures

 

 

 

F>M

 

Younger

 

 

 

 

 

 

 

 

 

 

 

 

 

M>F

 

Older (>10 yrs)

 

North American Indian; Caucasian

 

 

 

 

 

 

Sarcoidosis (African American, Northern European Caucasians)

 

 

·         Ingesting undercooked meats   (toxoplasmosis)

·         cat exposure (toxoplasmosis gondii; bartonella henselae)

·         Contaminated water/rodent exposure (leptospirosis)

·         Exposure to tuberculosis

·         Agricultural exposures (brucellosis)

·         Avian exposures (Chlamydia psittaci)

·         Travel to Lyme disease and histoplasmosis endemic areas

 

Intraocular Site of Uveitis

Anterior

Anterior

Intermediate: Granulomatous diseases (Tuberculosis, sarcoidosis, Lyme disease, syphilis)

Posterior: Toxoplasmosis; herpes

Panuveitis: Severe toxocariasis, toxoplasmosis, granulomatous diseases

Course of Uveitis

 

Chronic, asymptomatic

 

Acute, symptomatic

 

Variable depending on etiology

 

Inflammatory Characteristics

 

Non-granulomatous

 

Non-granulomatous

 

May be granulomatous or non-granulomatous depending on etiology

Focal chorioretinal lesions (toxoplasmosis)

Sectoral retinitis (herpes)

Diffuse chorioretinal lesions (sarcoid, vasculitis)

“Mutton-fat” keratic precipitates in granulomatous diseases