PMID- 29705838 OWN - NLM STAT- MEDLINE DCOM- 20180723 LR - 20190716 IS - 1435-702X (Electronic) IS - 0721-832X (Linking) VI - 256 IP - 8 DP - 2018 Aug TI - Potential predictors for frequent relapse in human leukocyte antigen-B27-associated uveitis. PG - 1543-1549 LID - 10.1007/s00417-018-4002-0 [doi] AB - PURPOSE: To identify potential predictors for frequent relapse in a cohort of patients with human leukocyte antigen (HLA)-B27-associated uveitis in a tertiary referral center at the initial visit. METHODS: This retrospective cohort study comprised 130 patients diagnosed with HLA-B27-associated uveitis. Subjects were divided into two groups according to the frequency of uveitis attacks (number/year): frequent relapse (FR) (who relapsed more than twice a year, 38) and infrequent relapse (IR) group (who relapsed twice or less than twice a year, 92). RESULTS: The FR group presented more often with hypopyon or posterior synechiae at the initial presentation. Interestingly, posterior segment involvements including vitritis, vasculitis, or cystoid macular edema were not significantly different between the groups. In terms of laboratory findings, the erythrocyte sedimentation rate (ESR) was higher in the FR group. Multivariate Cox hazards analysis showed male sex, the presence of hypopyon, and ESR to be potential predictive factors for frequent relapse. CONCLUSION: We found that male sex, hypopyon at presentation, and high ESR are potential predictors for frequent relapse in HLA-B27-associated uveitis. Identifying patients at higher risk of relapse could provide important information for patients, allowing patients to understand their condition and increase their acceptance of strict management. FAU - Kim, Mirinae AU - Kim M AD - Department of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea. FAU - Sim, Yoon Seob AU - Sim YS AD - Department of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea. FAU - Choi, Seung Yong AU - Choi SY AD - Department of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea. FAU - Park, Young-Hoon AU - Park YH AD - Department of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea. parkyh@catholic.ac.kr. AD - Catholic Institute for Visual Science, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea. parkyh@catholic.ac.kr. LA - eng GR - 2016R1A6A1A03010528/National Research Foundation of Korea/ PT - Journal Article DEP - 20180429 PL - Germany TA - Graefes Arch Clin Exp Ophthalmol JT - Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie JID - 8205248 RN - 0 (HLA-B27 Antigen) SB - IM MH - Adolescent MH - Adult MH - Chronic Disease MH - Female MH - Follow-Up Studies MH - HLA-B27 Antigen/*immunology MH - Humans MH - Incidence MH - Male MH - Recurrence MH - Republic of Korea/epidemiology MH - Retrospective Studies MH - *Risk Assessment MH - Tomography, Optical Coherence MH - Uveitis, Anterior/diagnosis/epidemiology/*immunology MH - Visual Acuity MH - Young Adult OTO - NOTNLM OT - Anterior uveitis OT - ESR OT - HLA-B27 OT - Hypopyon OT - Relapse OT - Uveitis EDAT- 2018/05/01 06:00 MHDA- 2018/07/24 06:00 CRDT- 2018/04/30 06:00 PHST- 2018/01/15 00:00 [received] PHST- 2018/04/20 00:00 [accepted] PHST- 2018/04/17 00:00 [revised] PHST- 2018/05/01 06:00 [pubmed] PHST- 2018/07/24 06:00 [medline] PHST- 2018/04/30 06:00 [entrez] AID - 10.1007/s00417-018-4002-0 [pii] AID - 10.1007/s00417-018-4002-0 [doi] PST - ppublish SO - Graefes Arch Clin Exp Ophthalmol. 2018 Aug;256(8):1543-1549. doi: 10.1007/s00417-018-4002-0. Epub 2018 Apr 29.