Intrathecal synthesis of immunoglobulins in patients with unexplained intermediate uveitis

Ocul Immunol Inflamm. 2011 Feb;19(1):26-31. doi: 10.3109/09273948.2010.505357. Epub 2010 Aug 25.

Abstract

Purpose: To assess the value of lumbar punctures in adult patients with unexplained intermediate uveitis (IU).

Methods: Retrospective study of 17 patients with unexplained IU. All the patients underwent physical examination, complete laboratory tests, and cerebrospinal MRI.

Results: Out of the 12 patients who underwent a lumbar puncture, six had oligoclonal bands and/or increased IgG index.

Conclusion: Intrathecal synthesis of immunoglobulins is not rare in patients with unexplained IU. A longer follow-up is mandatory to determine whether intrathecal immunoglobulins synthesis has a predictive value for subsequent progression to multiple sclerosis.

MeSH terms

  • Adult
  • Chronic Disease
  • Disease Progression
  • Female
  • Humans
  • Immunoglobulins / biosynthesis*
  • Immunoglobulins / blood
  • Immunoglobulins / cerebrospinal fluid
  • Male
  • Middle Aged
  • Multiple Sclerosis / immunology
  • Oligoclonal Bands / immunology
  • Retrospective Studies
  • Spinal Cord / immunology
  • Spinal Puncture
  • Uveitis, Intermediate / immunology*
  • Young Adult

Substances

  • Immunoglobulins
  • Oligoclonal Bands