Predicting the course of uveitis against the background of juvenile idiophatic arthritis when using topical therapy regimens. The results of mathematical modeling
- 作者: Chasnyk В.А.1, Кононов В.А.1,2, Brzheskiy V.1, Gaidar E.1, Kalashnikova O.1, Dubko M.1, Kostik M.1, Masalova V.1, Snegireva L.1, Nikitina T.1, Kononova N.1
-
隶属关系:
- Saint Petersburg State Pediatric Medical University
- North-West State Medical University named after I.I. Mechnikov
- 期: 卷 17, 编号 2 (2024)
- 页面: 21-29
- 栏目: Original researches
- URL: https://journals.rcsi.science/ov/article/view/262996
- DOI: https://doi.org/10.17816/OV628282
- ID: 262996
如何引用文章
详细
BACKGROUND: Juvenile idiopathic arthritis is the most common rheumatic disease in children, and uveitis is its most destructive extra-articular manifestation. Despite the existence of Federal clinical guidelines for the management of these patients, their treatment is largely based on the experience of doctors and varies greatly even within the same country.
AIM: The aim of the study is to find factors for predicting the course of uveitis and optimizing therapy.
MATERIALS AND METHODS: The case histories of 150 children aged 1.5 to 17 years with active uveitis in the structure of juvenile arthritis were analyzed using multifactorial modeling (construction of classification trees).
RESULTS: The fact of a significant influence of the time elapsed from the onset of rheumatic disease and uveitis until the start of therapy by genetically engineered medications (tumor necrosis factor alpha inhibitors) in treatment programs has been established.
CONCLUSIONS: Thus, the inclusion of this factor into the group of controlling ones makes it possible to achieve inactive uveitis status after 1, 3, and 6 months in a higher percentage of cases. However, the obtained data still require additional clinical confirmation.
作者简介
Виктор Анатольевич Chasnyk
Saint Petersburg State Pediatric Medical University
Email: chasnyk@gmail.com
ORCID iD: 0000-0001-5776-1490
SPIN 代码: 8175-0010
MD, Dr. Sci. (Medicine), Professor
俄罗斯联邦, Saint PetersburgВиктор Анатольевич Кононов
Saint Petersburg State Pediatric Medical University; North-West State Medical University named after I.I. Mechnikov
Email: 7435020@gmail.com
ORCID iD: 0000-0002-4673-5024
俄罗斯联邦, Saint Petersburg; Saint Petersburg
Vladimir Brzheskiy
Saint Petersburg State Pediatric Medical University
Email: vvbrzh@yandex.ru
ORCID iD: 0000-0001-7361-0270
SPIN 代码: 5442-0989
MD, Dr. Sci. (Medicine), Professor
俄罗斯联邦, Saint PetersburgEkaterina Gaidar
Saint Petersburg State Pediatric Medical University
Email: gaidare85@gmail.com
ORCID iD: 0000-0002-0971-2018
SPIN 代码: 1625-9960
MD, Cand. Sci. (Medicine)
俄罗斯联邦, Saint PetersburgOlga Kalashnikova
Saint Petersburg State Pediatric Medical University
Email: koira7@yandex.ru
ORCID iD: 0000-0002-8683-4270
SPIN 代码: 9114-0435
MD, Cand. Sci. (Medicine), Assistant Professor
俄罗斯联邦, Saint PetersburgMargarita Dubko
Saint Petersburg State Pediatric Medical University
Email: andrq@rambler.ru
ORCID iD: 0000-0002-6834-1413
SPIN 代码: 4152-4976
MD, Cand. Sci. (Medicine), Assistant Professor
俄罗斯联邦, Saint PetersburgMikhail Kostik
Saint Petersburg State Pediatric Medical University
Email: kost-mikhail@yandex.ru
ORCID iD: 0000-0002-1180-8086
SPIN 代码: 7257-0795
MD, Dr. Sci. (Medicine), Professor
俄罗斯联邦, Saint PetersburgVera Masalova
Saint Petersburg State Pediatric Medical University
Email: masalova.vera@gmail.com
ORCID iD: 0000-0002-3703-4920
SPIN 代码: 2241-3508
俄罗斯联邦, Saint Petersburg
Ludmila Snegireva
Saint Petersburg State Pediatric Medical University
Email: l.s.snegireva@mail.ru
ORCID iD: 0000-0001-6778-4127
俄罗斯联邦, Saint Petersburg
Tatiana Nikitina
Saint Petersburg State Pediatric Medical University
Email: nikitina.tat.nik@yandex.ru
ORCID iD: 0000-0001-6758-6999
SPIN 代码: 8496-2970
MD, Cand. Sci. (Medicine)
俄罗斯联邦, Saint PetersburgNadezhda Kononova
Saint Petersburg State Pediatric Medical University
编辑信件的主要联系方式.
Email: Nali-6@yandex.ru
ORCID iD: 0000-0002-2145-1762
SPIN 代码: 7217-3582
MD, Cand. Sci. (Medicine)
俄罗斯联邦, Saint Petersburg参考
- Drozdova EA. Medical and social aspects of uveitis in juvenile idiopathic arthritis. In: Materials of the interregional scientific and practical conference “Topical issues of ophthalmology”. Orenburg; 2013. P. 113–119. (In Russ.)
- Galstyan LA, Zholobova ES, Chebysheva SN, et al. Uveitis associated with juvenile eidiopathic arthritis. Russian Bulletin of Perinatology and Pediatrics. 2019;64(2):30–37. EDN: SHIHNR doi: 10.21508/1027-4065-2019-64-2-30-37
- Salugina SO, Katargina LA, Starikova AV. Rheumatological diseases and eyes lesions in children. Scientific and Practical Rheumatology. 2004;42(1):78–81. EDN: QCWZFJ
- Drozdova EA. The classification and epidemiology of uveitis. RMJ. Clinical Ophthalmology. 2016;16(3):155–159. EDN: ZNOGAL doi: 10.21689/2311-7729-2016-16-3-155-159
- Katargina LA, Brzheskij VV, Guseva MR, et al. The federal clinical guidelines on “The diagnostics and treatment of uveitis associated with juvenile idiopathic arthritis”. Russian Pediatric Ophthalmology. 2016;11(2): 102–111. EDN: VXEJMP doi: 10.18821/1993-1859-2016-11-2-102-111
- Zierhut M, Heiligenhaus A, deBoer J, et al. Controversies in juvenile idiopathic. Arthritis-associated uveitis. Ocul Immunol Inflamm. 2013;21(3):167–179. doi: 10.3109/09273948.2013.800561
- habr.com [Internet]. What is a decision tree and where is it used? Mosсow; 2020 [cited: 23.11.2023]. Availible from: https://habr.com/ru/companies/productstar/articles/523044/