Immunologic and genetic markers in patients with idiopathic ocular inflammation and a family history of inflammatory bowel disease

Javaneh Abbasian, Tammy Martin, Sarju Patel, Howard H. Tessler, Debra A. Goldstein

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

• PURPOSE: To evaluate the prevalence of immunologic and genetic markers in patients with idiopathic ocular inflammation and a family history of inflammatory bowel disease. • DESIGN: Matched case-control study. • METHODS: Patients with a diagnosis of idiopathic ocular inflammation and family history of inflammatory bowel disease who did not have inflammatory bowel disease themselves were identified and matched to control patients with idiopathic ocular inflammation. Serum was evaluated for immunologic markers using Prometheus IBD Serology 7. Genomic DNA was analyzed for single nucleotide polymorphisms (SNP) of the NOD2 gene associated with Crohn disease. • RESULTS: Fifteen patients with idiopathic ocular inflammation and family history of inflammatory bowel disease were matched to 15 control patients based on age, sex, and race. Eight of 15 patients (53%) with a family history of inflammatory bowel disease had elevated p-ANCA antibody levels compared to 3 of 15 controls (20%) (1-sided P = .04) with a matched analysis odds ratio of 6.0 (1-sided P = .06). Four of 15 patients (27%) with family history of inflammatory bowel disease tested positive for immunologic markers predicting ulcerative colitis, while no control patients tested positive (1-sided P = .06). Carrier rates of NOD2 SNPs did not differ significantly between the test and control groups. • CONCLUSIONS: One-quarter of patients with idiopathic ocular inflammation and a family history of inflammatory bowel disease had immunologic markers predicting bowel disease, and one-half had elevated p-ANCA levels. Prometheus IBD Serology 7 may be useful in the evaluation of selected patients with unexplained uveitis.

Original languageEnglish (US)
Pages (from-to)72-77
Number of pages6
JournalAmerican Journal of Ophthalmology
Volume154
Issue number1
DOIs
StatePublished - Jul 2012

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Genetic Markers
Inflammatory Bowel Diseases
Biomarkers
Inflammation
Antineutrophil Cytoplasmic Antibodies
Serology
Single Nucleotide Polymorphism
Uveitis
Ulcerative Colitis
Crohn Disease
Case-Control Studies
Odds Ratio
Control Groups
Antibodies
DNA
Serum

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Immunologic and genetic markers in patients with idiopathic ocular inflammation and a family history of inflammatory bowel disease. / Abbasian, Javaneh; Martin, Tammy; Patel, Sarju; Tessler, Howard H.; Goldstein, Debra A.

In: American Journal of Ophthalmology, Vol. 154, No. 1, 07.2012, p. 72-77.

Research output: Contribution to journalArticle

Abbasian, Javaneh ; Martin, Tammy ; Patel, Sarju ; Tessler, Howard H. ; Goldstein, Debra A. / Immunologic and genetic markers in patients with idiopathic ocular inflammation and a family history of inflammatory bowel disease. In: American Journal of Ophthalmology. 2012 ; Vol. 154, No. 1. pp. 72-77.
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