Wednesday, October 28, 2015
A fairly high percentage of people have reported that the first medical professional to suggest they may have spondyloarthritis was an ophthalmologist. (6% according to SAA’s 2011 Life Impact Study.) Researchers at St. Vincent's University Hospital in Dublin hope to increase that percentage by the creation of an algorithm aimed at identifying undiagnosed spondyloarthritis in patients who present with acute anterior uveitis (AAU.)
"Acute anterior uveitis is the most common form of uveitis...and the majority of cases of acute anterior uveitis are presumed to be autoimmune in origin," the author wrote. "The key question that needs to be addressed is which patients presenting with acute anterior uveitis should be referred to rheumatology from ophthalmology services.
Since no formal guidelines or referral pathways for AAU have been developed, recognition of patients with underlying SpA is dependent on an ophthalmologist's expertise and interest in the area, and delayed diagnosis is common, they added.”
This may start to change thanks to the newly developed algorithm called the Dublin Uveitis Evaluation Tool (DUET), which has shown great potential to deliver earlier and more appropriate referrals from the ophthalmologist’s office to the rheumatologist’s - and in doing so help reduce the current delay in spondyloarthritis diagnosis, which is still 7-10 years on average.
Further Reading - http://www.medpagetoday.com/Rheumatology/Arthritis/54314
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