Recommendations for the Management of Uveitis Associated With Juvenile Idiopathic Arthritis: The Czech and Slovak adaptation of SHARE Initiative.

Juvenile idiopathic arthritis (JIA) is the most common rheumatic disease in children and uveitis is its most important extra-articular manifestation. Evidence-based recommendations are available only to a limited extent and therefore JIA associated uveitis management is mostly based on physicians experience. Consequently, treatment practices differ widely, both nationally and internationally.

[Central serous choroidopathy as rare complication of the corticosteroid treatment].

The secondary glaucoma and complicated cataract are known and frequent complications of the corticosteroid treatment. The central serous choroidopathy (CSCH) is rare complication of corticotherapy in which occurs the focal serous ablation of the neurosensoric retina in the macular region caused by means of the leakage of the fluid trough the damaged retinal pigment epithelium. The authors present 5 cases of the CSCH during the corticosteroid treatment period, or the worsening of the already existing disease after the corticosteroid treatment.

[Vasculitis of retinal vessels in lung tuberculosis--a case report].

The authors examined during the period 2003-2004 in an eye practice 652 patients who were hospitalized due to active lung tuberculosis. All patients were treated with combination of 3-4 antituberculotic drugs and the examination was performed to observe the possible side effects of ethambutol to the optic nerve. The most interesting was the ocular finding in a young man treated due to acute lung tuberculosis in whom during the antituberculotic therapy with combination of 4 antituberculotics, the acute retinal vasculitis developed.

[Sarcoidosis--a case report].

We refer about a 47 years old woman patient with polymorphous complaints, in which the ophthalmologic examination with the findings of bilateral choroiditis and papilitis in the right eye helped to establish the diagnosis of sarcoidosis. According to the ophthalmic finding only, the treatment with Prednisone was started. With this treatment, the ocular findings improved, and polymorphous symptoms subsided.

[Changing clinical image of celiac sprue in childhood].

Background: Celiac sprue is considered to be the second most common chronic disease in childhood after allergic diseases. At present, the prevalence of this disease is stated as high as approximately 1% in inhabitants of the North America and Western Europe. Aetiology of celiac sprue is multifactorial as it is in other chronic diseases.