PMID- 38085287 OWN - NLM STAT- MEDLINE DCOM- 20240205 LR - 20240206 IS - 2731-7218 (Electronic) IS - 2731-720X (Linking) VI - 121 IP - Suppl 1 DP - 2024 Jan TI - HLA-B27-positive anterior uveitis : Clinical aspects, diagnostics, interdisciplinary management, and treatment. PG - 12-22 LID - 10.1007/s00347-023-01960-z [doi] AB - Acute anterior uveitis (AAU) associated with human leukocyte antigen (HLA) B27 is the most common form of noninfectious intraocular inflammation and is considered to be a separate clinical entity. Young adults between the ages of 20 and 40 years are predominantly affected. The HLA-B27 positive AAU typically presents as a unilateral, fulminant disruption of the blood-aqueous humor barrier, which is accompanied by pronounced cellular infiltration and fibrinous exudation. Other characteristics are reduced intraocular pressure and a high tendency to relapse, which can also involve the partner eye. Patients with HLA-B27 positive AAU share a high risk for other genetically associated diseases, especially spondylarthritis, chronic inflammatory bowel diseases and psoriasis. As up to 40% of those affected have a systemic disease that has not yet been diagnosed, the ophthalmologist is of major importance for early detection. CI - (c) 2023. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature. FAU - Werkl, Peter AU - Werkl P AD - Universitatsaugenklinik Graz-LKH-Universitatsklinikum Graz, Medizinische Universitat Graz, Auenbruggerplatz 4, 8036, Graz, Austria. FAU - Rademacher, Judith AU - Rademacher J AD - Medizinische Klinik fur Gastroenterologie, Infektiologie und Rheumatologie, Division of Gastroenterology, Infectious Diseases and Rheumatology, Charite-Universitatsmedizin Berlin, Corporate Member of Freie Universitat Berlin, Humboldt-Universitat zu Berlin, and Berlin Institute of Health, Hindenburgdamm 30, 12203, Berlin, Germany. AD - Berlin Institute of Health at Charite-Universitatsmedizin Berlin, Chariteplatz 1, 10117, Berlin, Germany. FAU - Pleyer, Uwe AU - Pleyer U AD - Berlin Institute of Health at Charite-Universitatsmedizin Berlin, Chariteplatz 1, 10117, Berlin, Germany. uwe.pleyer@charite.de. AD - Universitats-Augenklinik, Charite, Campus Virchow Klinikum-Universitatsmedizin Berlin, Corporate Member of Freie Universitat Berlin, Humboldt-Universitat zu Berlin, und Berlin Institute of Health, 13355, Berlin, Germany. uwe.pleyer@charite.de. LA - eng PT - Journal Article PT - Review TT - HLA-B27-positive Uveitis anterior : Klinik, Diagnostik, interdisziplinares Management und Therapie. Englische Version. DEP - 20231212 PL - Germany TA - Ophthalmologie JT - Die Ophthalmologie JID - 9918402288106676 RN - 0 (HLA-B27 Antigen) SB - IM MH - Young Adult MH - Humans MH - Adult MH - HLA-B27 Antigen/genetics MH - *Uveitis, Anterior/diagnosis MH - *Uveitis MH - Inflammation MH - *Spondylarthritis MH - Acute Disease MH - Chronic Disease OTO - NOTNLM OT - Acute anterior uveitis OT - Clinical manifestations OT - Psoriasis OT - Spondylarthritis OT - Systemic disease EDAT- 2023/12/12 12:41 MHDA- 2024/02/05 06:44 CRDT- 2023/12/12 11:04 PHST- 2023/11/08 00:00 [accepted] PHST- 2024/02/05 06:44 [medline] PHST- 2023/12/12 12:41 [pubmed] PHST- 2023/12/12 11:04 [entrez] AID - 10.1007/s00347-023-01960-z [pii] AID - 10.1007/s00347-023-01960-z [doi] PST - ppublish SO - Ophthalmologie. 2024 Jan;121(Suppl 1):12-22. doi: 10.1007/s00347-023-01960-z. Epub 2023 Dec 12.