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2016 ; 11
(1
): 61
Nephropedia Template TP
gab.com Text
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English Wikipedia
Birdshot chorioretinopathy: current knowledge and new concepts in
pathophysiology, diagnosis, monitoring and treatment
#MMPMID27175923
Minos E
; Barry RJ
; Southworth S
; Folkard A
; Murray PI
; Duker JS
; Keane PA
; Denniston AK
Orphanet J Rare Dis
2016[May]; 11
(1
): 61
PMID27175923
show ga
Birdshot chorioretinopathy (BCR) is a rare form of chronic, bilateral, posterior
uveitis with a distinctive clinical phenotype, and a strong association with
HLA-A29. It predominantly affects people in middle age. Given its rarity,
patients often encounter delays in diagnosis leading to delays in adequate
treatment, and thus risking significant visual loss. Recent advances have helped
increase our understanding of the underlying autoimmune mechanisms involved in
disease pathogenesis, and new diagnostic approaches such as multimodality imaging
have improved our ability to both diagnose and monitor disease activity. Whilst
traditional immunosuppressants may be effective in BCR, increased understanding
of immune pathways is enabling development of newer treatment modalities,
offering the potential for targeted modulation of immune mediators. In this
review, we will discuss current understanding of BCR and explore recent
developments in diagnosis, monitoring and treatment of this disease. Synonyms for
BCR: Birdshot chorioretinopathy, Birdshot retinochoroiditis, Birdshot
retino-choroidopathy, Vitiliginous choroiditis. Orphanet number: ORPHA179 OMIM:
605808.