幼年特发性关节炎相关葡萄膜炎诊疗中国专家共识(2023)

协和医学杂志Medical Joumal of Peking Union Medical College Hospital·指南与共识·幼年特发性关节炎相关葡萄膜炎诊疗中国专家共识(2023)中华医学会儿科学分会免疫学组，中国儿童风湿免疫病联盟，国家儿童健康与疾病临床研究中心风湿免疫联盟通信作者：唐雪梅'，E-mil:tanguemei2008163.com宋红梅2，E-nail:songhml021@126.cm·重庆医科大学附属儿童医院风湿免疫科，重庆4000142中国医学科学院北京协和医院儿科，北京100730【摘要】幼年特发性关节炎(juvenile idiopathic arthritis,JA)是儿童时期常见的风湿免疫性疾病。幼年特发性关节炎相关葡萄膜炎(juvenile idiopathic arthritis-associated uveitis,.JLAU)是JLA重要的关节外并发症，主要表现为隐匿起病的虹膜和睫状体前部非肉芽肿性炎症（虹膜睫状体炎），。是造成儿童时期残疾和失明的重要原因之一。近年来，美国风湿病学会(American College of Rheumatology,ACR)及欧洲儿科风湿病学的单一框纽和接人点(Single Hub and AccessPoint for Pediatric Rheumatolog罗in Europe,SHARE)先后均发表了JLAU的临床指南，但我国尚缺乏诊疗相关指导性文件。为进一步加强该病的临床认知和诊疗规范，中华医学会儿科学分会免疫学组、中国儿童风湿免疫病联盟、国家儿童健康与疾病临床研究中心风湿免疫联盟联合眼科专家共同制定了《幼年特发性关节炎相关葡萄膜炎诊疗中国专家共识(223)》.在疾病筛查、诊断、治疗等方面达成初步共识。以供临床参考·【关键词】幼年特发性关节炎：葡萄膜炎：诊断：治疗：专家共识【中图分类号】R593.22:R725.9【文献标志码】A【文章编号】16749081(2023)02-0247-0D0:10.12290/xhyxzz.2023-0090Chinese Expert Consensus on Juvenile Idiopathic Arthritis-associated Uveitis 2023)The Subspecialty Group of Immunology,the Society of Pediatrics,Chinese Medical Association,Chinese Alliance of Pediatric Rheumatic and Immunologic Diseases,Alliance of Rheumatic and Immunologic Diseases,National Clinical Research Center for Child Health and DisordersCorresponding authors:TANG Xuemei,E-mail:tangxuemei2008@163.comSONG Hongmei2,E-mail:songhm1021@126.comDepartment of Immunobgy and Rheumatology,Chiklren's Hospital of Chongqing Medical University,Chongring 400014,China2Department of Pediatrics,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China[Abstract Juvenile idiopathic arthritis JIA)is a common chronic rheumatologic disease in childhood.JIA-associated uveitis (JIA-U),an important extra-articular complication of JIA,is one of the major causes ofchildhood disability and blindness.It is predominantly anterior,nongranulomatous inflammation affecting the irisand ciliary body iridocyclitis)of insidious onset.Recently,American College of Rheumatology ACR)and theSingle Hub and Access Point for Pediatric Rheumatology in Europe SHARE)have published clinical guidelinesfor JIAUU.There is no guideline of diagnosis and treatment of JIA in China.To promote the standardization ofclinical understanding and treatment,the Subspecialty Group of Immunology of the Society of Pediatrics of Chinese基金项目：国家重点研发计划(2021FC2702003)引用本文：中华医学会儿科学分会免疫学组，中国儿童风湿免疫病联盟，国家儿童健康与疾病临床研究中心风湿免疫联盟.幼年特发性关节炎相关葡萄膜炎诊疗中国专家共识(2023月.协和医学杂志，2023,14(2)：247-256.di:10.12290/xy立2023-0090.@l.4No.2247