Clinical Relevance of Autoantibodies and Inflammatory Parameters in Non-infectious Scleritis

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Abstract

Purpose
Scleritis is a potentially blinding disorder, with highly unpredictable course and outcome. We analyzed the prevalence and clinical relevance of autoantibodies and inflammatory parameters in non-infectious scleritis.

Methods
Retrospective analysis of laboratory findings in all consecutive patients at the department of Ophthalmology of the Erasmus MC with non-infectious scleritis.

Results
We included 81 patients with non-infectious scleritis. A systemic autoimmune disease was present in 46%. Positive anti-nuclear antibodies were found in 30%, anti-neutrophil cytoplasmic antibodies were positive in 19%, and the presence of rheumatoid factor was shown in 17%. The aforementioned autoantibodies, as well as inflammatory parameters, failed to show prognostic clinical value. In contrast, anti-citrullinated peptide antibodies (ACPA), found in 9% of scleritis patients, were significantly associated with the development of scleral necrosis (P = .01).

Conclusions
The presence of ACPA in patients with non-infectious scleritis was associated with the development of scleral necrosis.
Original languageEnglish
Number of pages8
JournalOcular Immunology and Inflammation
DOIs
Publication statusPublished - 31 Aug 2021

Bibliographical note

Funding Information:
This work was supported by Stichting Lijf en Leven under Grant [number L&L/mon/19-007].

Publisher Copyright:
© 2021 The Author(s). Published with license by Taylor & Francis Group, LLC.

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