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Rheumatology International

, Volume 20, Issue 4, pp 159–162 | Cite as

Keratoconjunctivitis sicca is not uncommon in children with juvenile rheumatoid arthritis

  •  V. Jain
  •  S. Singh
  •  A. Sharma
Original Article

Abstract.

Keratoconjunctivitis sicca (KCS), characterised by aqueous tear deficiency, is the most common ocular complication in adult rheumatoid arthritis (RA). In juvenile rheumatoid arthritis (JRA), however, it remains under-reported. For this prospective study, 50 children with JRA were examined clinically and underwent tests for KCS (Schirmer's I and rose bengal tests, fluorescein staining, and tear film breakup time). Six children (12%) with two or more abnormal tests were diagnosed as having definite KCS, while one child with only one abnormal test was labelled with probable KCS. Five of the six (83.3%) with definite KCS were males, and three (50%) had a pauciarticular form of the disease. Two children (33.3%) with definite KCS had no ocular symptoms, five were receiving only nonsteroidal anti-inflammatory drugs, and one was additionally on methotrexate. Keratoconjunctivitis sicca appears to be a common ocular complication and all children with JRA should be screened for it with a comprehensive battery of tests.

Keratoconjunctivitis sicca Juvenile rheumatoid arthritis 

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Copyright information

© Springer-Verlag 2001

Authors and Affiliations

  •  V. Jain
    • 1
  •  S. Singh
    • 1
  •  A. Sharma
    • 2
  1. 1.Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, India-160012
  2. 2.Department of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India-160012

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