Review Article

Gender and Spondyloarthropathy-Associated Uveitis

Table 1

Summary of studies reporting data on gender in spondyloarthropathy and uveitis.

StudyTotal number of patientsFemale (%)Type of spondyloarthropathy (if any)

Wakefield et al. 1984 [9]4021/40 (52.5%)HLA-B27-negative AU
419/41 (22%)HLA-B27-associated AU*
8/18 (44%)Idiopathic HLA-B27-associated AU
0/7 (0%)AU + Reiters syndrome
0/11 (0%)AU + ankylosing spondylitis
1/4 (25%)AU + seronegative arthritis
0/1 (0%)AU + IBD

Rothova et al. 1992 [7]7321/73 (29%)HLA-B27-associated AU

Linssen and Meenken 1995 [11]3518/35 (51%)HLA-B27-negative AU
11943/119 (36%)HLA-B27-associated AU*
24/40 (60%)Idiopathic HLA-B27-associated AU*
16/44 (36%)AU + ankylosing spondylitis*
8/35 (23%)AU + AS-related spondyloarthropathy*

Tay-Kearney et al. 1996 [12] 14859/148 (40%)HLA-B27-associated AU*
14/37 (38%)AU + ankylosing spondylitis
4/22 (18%)AU + Reiters syndrome
5/9 (55.5%)AU + incomplete Reiters syndrome
1/5 (20%)AU + psoriatic arthritis and/or spondylitis
2/3 (67%)AU + IBD and/or spondylitis
4/7 (57%)AU + undifferentiated spondyloarthropathy

Lyons and Rosenbaum 1997 [19] 1714/17 (82%)Uveitis + IBD
8929/89 (33%)Uveitis + spondyloarthropathy

Power et al. 1998 [3] 19186/191 (45%)HLA-B27-associated AU
52/97 (54%)AU without systemic disease
17/51 (33%)AU + ankylosing spondylitis
5/26 (19%)AU + Reiters syndrome
4/5 (80%)AU + psoriatic arthritis
2/5 (40%)AU + ulcerative colitis
6/7 (86%)AU + Crohn’s disease

Paiva et al. 2000 [20] 5/16 (31%)Uveitis + psoriatic arthritis (PsA)
5/8 (62.5%)Uveitis + PsA, and peripheral arthritis
0/8 (0%)Uveitis + PsA, peripheral and/or axial arthritis
8929/89 (33%)Uveitis + spondyloarthropathy

Queiro et al. 2002 [21]13N.A.**Uveitis + psoriatic arthritis

Monnet et al. 2004 [13] 17576/175 (43%)HLA-B27-associated AU
22/39 (56%)AU without spondyloarthropathy
54/136 (40%)AU with spondyloarthropathy
42/98 (43%)AU + ankylosing spondylitis or presumed AS
8/21 (38%)AU + undifferentiated spondyloarthropathy
0/2 (0%)AU + psoriatic arthritis
2/6 (33%)AU + reactive arthritis
1/5 (20%)AU + spondyloarthropathy and Behçet’s disease
1/4 (25%)AU + inflammatory bowel disease

Braakenburg et al. 2008 [14] 17781/177 (46%)HLA-B27-associated AU
15/39 (38%)AU + HLA-B27-associated systemic disease
10/30 (33%)AU + ankylosing spondylitis

Chung et al. 2009 [15] 504169/504 (33.5%)HLA-B27-associated AU
47/117 (40%)AU without spondyloarthropathy
46/214 (21.5%)AU + ankylosing spondylitis
69/150 (46%)AU + undifferentiated spondyloarthropathy
4/10 (40%)AU + psoriatic arthritis
3/11 (27%)AU + reactive arthritis
0/2 (0%)AU + inflammatory bowel disease

Loh and Acharya 2010 [17] 9943/99 (43%)HLA-B27-associated AU
18/44 (41%) AU + HLA-B27-associated systemic disease

Agnani et al. 2010 [16] 20791/207 (44%)AU + HLA-B27 or axial spondyloarthritis
55/126 (44%)AU + axial spondyloarthritis

Zheng et al. 2012 [22] 24071/240 (30%)HLA-B27-associated AU (6 were HLA-B27 negative)
19/108 (18%)AU + ankylosing spondylitis
9/16 (56%)AU + undifferentiated spondyloarthropathy

AU: anterior uveitis, IBD: inflammatory bowel disease, AS: ankylosing spondylitis, PsA: psoriatic arthritis.
All patients had HLA B27-associated AU plus one of the categories indicated.
Data not available on systemic disease for all patients.
Same population of patients with uveitis and spondyloarthropathy used in each study.
Number and percentage of females cannot be determined from publication.