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Prevalence of diabetic retinopathy in children and adolescents with IDDM : A population-based multicentre study.

Auteur
KERNELL (A.); DEDORSSON (I.); JOHANSSON (B.); WICKSTROM (C.P.); LUDVIGSSON (J.); TUVEMO (T.); NEIDERUD (J.); SJOSTROM (K.); MALMGREN (K.); KANULF (P.); MELLVIG (L.); GJOTTERBERG (M.); SULE (J.); PERSSON (L.A.); LARSSON (L.I.); AMAN (J.); DAHLQUIST (G.)
Collectivité auteur
Department of Paediatrics. University Hospital. Linköping. SWE
Source
DIABETOLOGIA, Vol 40, N° 3, 1997, pages 307-310, 20 réf., DEU
ISSN
0012-186X
Type de document
ARTICLE
Langue
Anglais
Résumé
Vision-threatening diabetic retinopathy can be prevented if it is diagnosed before becoming too advanced. Since diabetic retinopathy has been reported to occur only rarely before the end of pubertal development, children and adolescents are seldom included in screening programmes. We invited 780 children and adolescents with insulin-dependent diabetes mellitus diagnosed before the age of 15.0 years (disease duration of<12 years) and who were older than 9.0 years at the time of examination from eight regions of Sweden. Retinal examination was performed with stereoscopic fundus photograph. The photograph were rated according to a modified Airlie House classification. The dropouts (223/780,28.6%) were significantly older and with a longer duration of diabetes than the examined children (p<0.001 and 0.001, respectively). Photographs from 557 patients aged (median [interquartile range] : 14.6 [12.4-17.0]) years and with a diabetes duration of 8.0 (5.5-9.9) years were evaluated. Retinopathy was demonstrated in 81 patients (14.5%) : 66 with background retinopathy, 2 with microaneurysms and hard exudates, 12 with preproliferative retinopathy, 1 with proliferative retinopathy. Preproliferative retinopathy was diagnosed in a 12.8-year-old girl in pubertal stage 3 and an 11.8-year-old boy in pubertal stage 2, and proliferative retinopathy was found in a 21.5-year-old girl. Retinopathy was demonstrated in 6% and 18% of patients in pubertal stages 1 and 5, respectively. (...)
Mots-clés BDSP
Epidémiologie Puberté Suède Europe Glande endocrine [pathologie] Oeil [pathologie] Enfant Homme Adolescent
Mots-clés Pascal
Epidémiologie Développement Puberté Suède Europe Diabète insulinodépendant Rétinopathie Endocrinopathie Immunopathologie Maladie autoimmune Oeil pathologie Enfant Homme Adolescent
Mots-clés Pascal anglais
Epidemiology Development Puberty Sweden Europe Insulin dependent diabetes Retinopathy Endocrinopathy Immunopathology Autoimmune disease Eye disease Child Human Adolescent
Provenance

Inist-CNRS - Institut de l'Information Scientifique et Technique

Identifiant BDSP
138946
Création de la notice
1997-05-21
Dernière mise à jour
1997-05-21

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