Choroidal vascularity index as a biomarker of systemic inflammation in childhood Polyarteritis Nodosa and adenosine deaminase-2 deficiency
Identifieur interne : 000504 ( Main/Exploration ); précédent : 000503; suivant : 000505Choroidal vascularity index as a biomarker of systemic inflammation in childhood Polyarteritis Nodosa and adenosine deaminase-2 deficiency
Auteurs : Ata Baytaro Lu [Turquie] ; Sibel Kadayifçilar [Turquie] ; Abdullah A In [Turquie] ; Özge Del Kta [Turquie] ; Selcan Dem R [Turquie] ; Yelda B Lg Ner [Turquie] ; Jale Karakaya [Turquie] ; Seza Özen [Turquie] ; Bora Eldem [Turquie]Source :
- Pediatric Rheumatology Online Journal [ 1546-0096 ] ; 2020.
Abstract
To assess EDI-OCT (enhanced depth imaging optical coherence tomography) of choroid for inflammatory signs in children with polyarteritis nodosa (PAN) and adenosine deaminase-2 deficiency (DADA-2).
In this cross-sectional study conducted between June 2017 and September 2018, we evaluated children diagnosed with PAN (
The median (min-max) age was 8 (4–16) years in PAN patients, 6 (5–16) years in DADA-2 patients and 8 (8–10) years in control group at the OCT visit (
Similar CVI scores were obtained from PAN and DADA2 patients under treatment and from healthy controls. Increased subfoveal ChT without any other signs of ocular involvement may suggest choroidal thickening as a sign of mild subclinical inflammation.
Url:
DOI: 10.1186/s12969-020-0417-3
PubMed: 32245490
PubMed Central: 7118843
Affiliations:
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sortKey="Baytaro Lu, Ata" sort="Baytaro Lu, Ata" uniqKey="Baytaro Lu A" first="Ata" last="Baytaro Lu">Ata Baytaro Lu</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Ophthalmology, Aydın State Hospital, Aydın, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Ophthalmology, Aydın State Hospital, Aydın</wicri:regionArea><wicri:noRegion>Aydın</wicri:noRegion></affiliation></author><author><name sortKey="Kadayifcilar, Sibel" sort="Kadayifcilar, Sibel" uniqKey="Kadayifcilar S" first="Sibel" last="Kadayifçilar">Sibel Kadayifçilar</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.14442.37</institution-id><institution-id institution-id-type="ISNI">0000 0001 2342 7339</institution-id><institution>Department of Ophthalmology,</institution><institution>Hacettepe University School of Medicine,</institution></institution-wrap>Ankara, Turkey</nlm:aff><country 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xml:lang="fr">Turquie</country><wicri:regionArea>Ankara</wicri:regionArea></affiliation></author><author><name sortKey="Ozen, Seza" sort="Ozen, Seza" uniqKey="Ozen S" first="Seza" last="Özen">Seza Özen</name><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="GRID">grid.14442.37</institution-id><institution-id institution-id-type="ISNI">0000 0001 2342 7339</institution-id><institution>Department of Pediatrics, Pediatric Rheumatology Unit,</institution><institution>Hacettepe University School of Medicine,</institution></institution-wrap>Ankara, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Ankara</wicri:regionArea></affiliation></author><author><name sortKey="Eldem, Bora" sort="Eldem, Bora" uniqKey="Eldem B" first="Bora" last="Eldem">Bora Eldem</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.14442.37</institution-id><institution-id institution-id-type="ISNI">0000 0001 2342 7339</institution-id><institution>Department of Ophthalmology,</institution><institution>Hacettepe University School of Medicine,</institution></institution-wrap>Ankara, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Ankara</wicri:regionArea></affiliation></author></analytic><series><title level="j">Pediatric Rheumatology Online Journal</title><idno type="eISSN">1546-0096</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background/purpose</title><p id="Par1">To assess EDI-OCT (enhanced depth imaging optical coherence tomography) of choroid for inflammatory signs in children with polyarteritis nodosa (PAN) and adenosine deaminase-2 deficiency (DADA-2).</p></sec><sec><title>Methods</title><p id="Par2">In this cross-sectional study conducted between June 2017 and September 2018, we evaluated children diagnosed with PAN (<italic>n</italic> = 11) and DADA-2 (<italic>n</italic> = 4) and an age- and sex-matched control group (<italic>n</italic> = 15). Demographic and laboratory data were retrospectively analyzed from patient charts. Disease activity was assessed using the pediatric vasculitis activity score (PVAS). Choroidal images were obtained with spectral domain-OCT to measure choroidal thickness (ChT) at 5 points (750 and 1500 μm from the foveal center in the temporal and nasal quadrants and beneath the fovea), and to calculate the total subfoveal choroidal area (TCA), luminal area (LA), stromal area (SA), and the choroidal vascularity index (CVI).</p></sec><sec><title>Results</title><p id="Par3">The median (min-max) age was 8 (4–16) years in PAN patients, 6 (5–16) years in DADA-2 patients and 8 (8–10) years in control group at the OCT visit (<italic>p</italic> = 0.214). The ChT at 3 points and the TCA, LA, and SA were higher in children with both PAN and DADA-2 patients compared to those of the control group (<italic>p</italic> < 0.0001, <italic>p</italic> = 0.049, <italic>p</italic> = 0.007, p = 0.007, <italic>p</italic> = 0.006, <italic>p</italic> = 0.033, respectively). The CVI was similar in both groups. No association was observed between the OCT findings, PVAS, and the erythrocyte sedimentation rate, and serum leukocyte and C-reactive protein levels.</p></sec><sec><title>Conclusion</title><p id="Par4">Similar CVI scores were obtained from PAN and DADA2 patients under treatment and from healthy controls. Increased subfoveal ChT without any other signs of ocular involvement may suggest choroidal thickening as a sign of mild subclinical inflammation.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Jennette, Jc" uniqKey="Jennette J">JC Jennette</name></author><author><name sortKey="Falk, Rj" uniqKey="Falk R">RJ Falk</name></author><author><name sortKey="Bacon, Pa" uniqKey="Bacon P">PA Bacon</name></author><author><name sortKey="Basu, N" uniqKey="Basu N">N Basu</name></author><author><name sortKey="Cid, Mc" uniqKey="Cid M">MC Cid</name></author><author><name sortKey="Ferrario, F" uniqKey="Ferrario F">F Ferrario</name></author><author><name sortKey="Flores Suarez, Lf" uniqKey="Flores Suarez L">LF Flores-Suarez</name></author><author><name sortKey="Gross, Wl" uniqKey="Gross W">WL Gross</name></author><author><name sortKey="Guillevin, L" uniqKey="Guillevin L">L Guillevin</name></author><author><name sortKey="Hagen, Ec" 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first="Bora" last="Eldem">Bora Eldem</name><name sortKey="Kadayifcilar, Sibel" sort="Kadayifcilar, Sibel" uniqKey="Kadayifcilar S" first="Sibel" last="Kadayifçilar">Sibel Kadayifçilar</name><name sortKey="Karakaya, Jale" sort="Karakaya, Jale" uniqKey="Karakaya J" first="Jale" last="Karakaya">Jale Karakaya</name><name sortKey="Ozen, Seza" sort="Ozen, Seza" uniqKey="Ozen S" first="Seza" last="Özen">Seza Özen</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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