Document Detail


Blood-aqueous barrier permeability determination in HLA B27-positive acute anterior uveitis patients.
MedLine Citation:
PMID:  7797389     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The blood-aqueous barrier (BAB) permeability was studied by fluorophotometry in 17 healthy control subjects and in 27 eyes from 27 patients with HLA-B27-positive acute anterior uveitis (HLA-B27 AAU). Twenty of these patients had an associated spondyloarthropathy. BAB permeability was studied during the ocular inflammatory crisis and in the disease-free periods in the same patients. Anterior chamber fluorophotometric scans were performed before and 30 minutes after the intravenous injection of 14 mg/kg of sodium fluorescein. The diffusion coefficient (Kd) was obtained from the ratio between the fluorescein concentration in the anterior chamber and the NPBF. Data were analyzed using the Student's t test and analysis of variance. A statistically significant difference (P < 0.001) was found between the Kd of active HLA-B27 AAU (61.4 +/- 16.8 x 10(-4) min-1) and the Kd of inactive HLA-B27 AAU (4.8 +/- 1.6 x 10(-4) min-1). No statistically significant differences were found between the Kd of inactive HLA-B27 AAU and the Kd of the control subjects (4.3 +/- 1.0 x 10(-4) min-1). We also failed to detect significant differences between patients with and without spondyloarthropathy either during the acute attack or during the disease-free period. On the basis of these results we conclude that the permeability of the BAB remains intact in inactive HLA-B27-positive AAU. The parallel fluorophotometric behaviour of HLA-B27-positive AAU with spondyloarthropathy and without spondyloarthropathy suggests that both share a common pathogenetic mechanism.
Authors:
J M Benitez del Castillo; N Toledano; A Bañares; C Hernandez; M Arjona; D Díaz Valle; J Garcia Sanchez
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International ophthalmology     Volume:  18     ISSN:  0165-5701     ISO Abbreviation:  Int Ophthalmol     Publication Date:    1994-1995
Date Detail:
Created Date:  1995-07-31     Completed Date:  1995-07-31     Revised Date:  2006-07-19    
Medline Journal Info:
Nlm Unique ID:  7904294     Medline TA:  Int Ophthalmol     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  233-6     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, Hospital Universitario San Carlos, Madrid, Spain.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adult
Aqueous Humor / metabolism*
Blood / metabolism*
Capillary Permeability*
Ciliary Body / blood supply
Female
Fluorescein
Fluoresceins / metabolism
Fluorophotometry
HLA-B27 Antigen / metabolism*
Humans
Iris / blood supply
Male
Uveitis, Anterior / metabolism*
Chemical
Reg. No./Substance:
0/Fluoresceins; 0/HLA-B27 Antigen; 2321-07-5/Fluorescein

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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