Review Article

The Role of Gender in Juvenile Idiopathic Arthritis-Associated Uveitis

Table 3

Summary of gender specific findings in patients with JIA-associated uveitis in some of the recent published articles.

Author/yearMales were more likely to have Females were more likely to have

Saurenman et al./2007 [14](i) Symptomatic uveitis
(ii) A shorter interval between diagnosis of arthritis and uveitis
(iii) An older age at diagnosis of JIA
(iv) Enthesitis-related arthritis and psoriatic JIA.
(i) Female sex was a risk factor for the development of uveitis in patients with oligoarticular and persistent oligoarticular JIA, but not in those with the other subtypes.
(ii) Females were more likely to have oligoarticular JIA.

Saurenman et al./2010 [18](i) Only girls had an age-dependent and ANA-associated increased risk of uveitis.
(ii) Female sex (LR 8.0, ) and the combination of female sex and young age at diagnosis (LR 6.7, ) were significantly associated with the development of uveitis.
(iii) Girls had a higher rate of ANA positivity compared with boys, in all age groups ( ).

Sabri et al./2008 [26](i) Male patients tended to have a greater rate of uveitis complications (48.3% vs 33.5% in female patients); this difference was not statistically significant ( ).
(ii) Male patients were more likely to have earlier complications than female patients ( ), including earlier synechiae formation ( ).
The majority of patients who developed uveitis (79.6%) was female.

Ayuso et al./2010 [25](i) Male gender appeared to be independently associated with cataract surgery CME and papillitis ( ).
(ii) Time between the diagnosis of arthritis and uveitis was shorter in boys than in girls (0.3 vs 1.0 years).
(iii) Boys presented with uveitis as initial manifestation of JIA more frequently than girls (44% vs 15% of girls).

Hoeve et al./2012 [27]Uveitis in boys was more frequently diagnosed before the onset of arthritis.
Girls were significantly younger than boys at diagnosis of JIA; however, the age at diagnosis of JIA-associated uveitis was similar for boys and girls.

Edelsten et al./2002 [21](i) Male sex was associated with increased complications in the standard cohort.
(ii) Male sex was found to be independently associated with a higher complication rate, and the rate appeared to be higher in the first 4 years.
(iii) After 8 years the complication rate was 38.4% for males and 9.7% for females.
Females in the standard cohort had the most benign disease with 5% complication rate and 54% remission rate.

Zulian et al./2002 [22]Males were more susceptible to severe ocular involvement.

Chia et al./2003 [23](i) Male children are more likely to have severe uveitis at diagnosis.
(ii) Male patients developed uveitis at shorter intervals from the onset of arthritis symptoms (median 5 vs 18 months).

CME: cystoid macular edema; JIA: juvenile-associated arthritis; vs: versus.