The Eye in Systemic Disease by Jack J. Kanski

By Jack J. Kanski

This can be a handbook on analysis and remedy of systemic illnesses affecting the attention

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T h e i n c i d e n c e of iritis in p a t i e n t s w i t h A S is a b o u t 3 0 % a n d , c o n v e r s e l y , a b o u t 3 0 % of m a l e s w i t h a c u t e iritis will also h a v e A S . • T h e r e is n o c o r r e l a t i o n b e t w e e n t h e s e v e r i t y a n d activity of either e y e o r joint i n v o l v e m e n t , a n d t h e iritis m a y either p r e c e d e o r follow t h e o n s e t of clinical A S . All y o u n g a d u l t m a l e s w i t h a c u t e iritis s h o u l d t h e r e f o r e h a v e X - r a y s of t h e sacroiliac joints e v e n in t h e a b s e n c e of s y m p ­ t o m s of A S .

A c u t e m a s s i v e retinal e x u d a t i o n a s s o c i a t e d w i t h obliteration o f t h e o v e r l y i n g b l o o d v e s s e l s ( F i g u r e 4 . 29). 29 Optic atrophy, old vascular sheathing and retinal atrophy in Behςet's disease Treatment form of transient white 50 Rheumatological disorders Treatment • T h e initial t r e a t m e n t is w i t h h i g h d o s e s of s y s t e m i c s t e r o i d s w h i c h a r e usually effective in controlling the inflammation. Unfortunately, t h e lesions s u b s e q u e n t l y frequently b e c o m e steroid resistant a n d require alternative ther­ apy.

D. (1987) Carotid endarterectomy. W h o needs it? , MARKOwrrz, I. D. (1986) Carotid endarterectomy for amaurosis fugax. P. (1987) Does carotid endarterectomy de­ crease stroke and death in patients with transient ischaemic attacks? Annals of Neurology, 22, 72-76 Rheumatological disorders Rheumatoid arthritis 2. Acute onset o v e r a p e r i o d of h o u r s o r d a y s o c c u r s in a b o u t 1 0 % . Definition 3 . Palindromic rheumatism - c h a r a c t e r i z e d b y r e c u r ­ r e n t a t t a c k s o f a c u t e arthritis lasting 1 o r 2 d a y s .

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