Entzündlich-rheumatische Erkrankungen werden häufig mit Schmerzen des Bewegungsapparats
und entzündeten Gelenken assoziiert. Tatsächlich handelt es sich jedoch um Multisystemerkrankungen,
die alle Organsysteme – und folglich auch die Augen – betreffen können. Der Beitrag
geht auf die wichtigsten Augenmanifestationen ein und erklärt, warum und wann eine
Augenbeteiligung auch bei vermeintlich fehlenden Symptomen aktiv abgeklärt werden
sollte.
Abstract
Pain in the musculoskeletal system and in the joints is what comes to mind first when
people talk about rheumatic diseases. However, rheumatic diseases are multisystem
disorders that can affect every organ system. Therefore, ocular manifestations are
common and can occur in almost every rheumatic disease. On the one hand, they can
even precede musculoskeletal manifestations. On the other hand, they can remain unrecognized
without a thorough ophthalmologic examination in some disease entities. Consequently,
a close cooperation between medical specialties is warranted, to prevent permanent
impairment in vision or consequential damage to organs or joints.
The following article thus focuses on the most important ocular manifestations of
rheumatic diseases. For example, we address keratoconjunctivitis sicca as a complication
in many rheumatic disorders, which include rheumatoid arthritis and, most importantly,
Sjogren’s syndrome. Furthermore, we cover uveitis and associated diseases such as
spondyloarthritis or sarcoidosis. Also, we discuss giant cell arteritis as a rheumatological
emergency. All in all, we aim to give a synopsis of clinical presentations, important
diagnostic measures, and current therapeutic options of the above-mentioned disorders.
Schlüsselwörter
Uveitis - Augenentzündung - Riesenzellarteriitis - Sicca-Syndrom
Key words
uveitis - ocular inflammation - giant cell arteritis - sicca syndrome
