소아기 특발성 관절염과 연관된 포도막염에서의 유병률, 위험인자, HLA-DRB1의 발현

소아기 특발성 관절염과 연관된 포도막염에서의 유병률, 위험인자, HLA-DRB1의 발현

Prevalence, risk factors, and expression of HLA-DRB1 in juvenile idiopathic arthritis (JIA)-associated uveitis

(구연):硫댁—
Release Date : 2017. 10. 27(금)
Jin Kyu Pyo, Sol Lee , Kwang Nam Kim
Hallym University Sacred Heart Hospital Department of Pediatrics1
표진규, 이솔 , 김광남
한림대학교 성심병원 소아청소년과1

Abstract

Objective. The aim of this study is to investigate the different ethnic features of juvenile idiopathic arthritis (JIA)-associated uveitis (JIA-U) in Korea and in Western countries. We also tried to determine whether a specific HLA-DRB1 allele could be a predictive risk factor of uveitis in JIA. Methods. We analyzed pediatric rheumatology and ophthalmology medical records for JIA between March 2006 and March 2016. A total of 233 were included in this study. Results. Of all patients, 31 (13.3%) developed uveitis: 14 oligoarticular, three polyarticular, six systemic, seven enthesitis-related, and one undifferentiated-type JIA. In oligoarticular JIA, 26.4% developed uveitis. The percentage of females JIA-U was 54.8%, and median age of JIA onset was 7.02 years in JIA-U. Antinuclear antibody (ANA) positivity in oligoarticular JIA-U was 57.1%. Of 31 JIA-U cases, 26 (83.9%) were clinically asymptomatic when diagnosed. The allele frequency of HLA-DRB1*09 of total JIA-U was higher than that of JIA without uveitis. HLA-DRB1*09 and HLA-DRB1*12 were higher in oligoarticular JIA-U than in JIA without uveitis. Conclusion. Korean JIA-U has different features from JIA-U of Western countries. The sex ratio and age of JIA onset showed no significant differences in Korean JIA-U. ANA positivity was more common in JIA-U than in JIA without uveitis only in oligoarticular type JIA. These differences might be due to genetic factors, especially HLA-DRB1. We suggest HLA-DRB1*09 and HLA-DRB1*12 in oligoarticular JIA as risk factors of JIA-U in Korea. This is the first study to analyze associations between HLA-DRB1 and JIA-U in Korea.

Keywords: Juvenile idiopathic arthritis, Uveitis, HLA-DRB1