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April 1997

Uveitis and Systemic Lupus Erythematosus-Reply

Author Affiliations

Boston, Mass

Arch Ophthalmol. 1997;115(4):565-566. doi:10.1001/archopht.1997.01100150567034

In reply  Dr Howe assumes that we are "apparently making the common mistake of referring to lupus retinopathy as a retinal vasculitis." On the contrary, we described in our epidemiological series of 1237 patients with uveitis only those patients with lupus who had true inflammatory disease (ie, uveitis or retinal vasculitis). Dr Howe wonders if the 19 patients we studied who were "lupus suspects" (ie, who failed by one diagnostic parameter "score" to completely fulfill the criteria for having definite lupus) are legitimate for inclusion in the report, and she further wonders if these patients were removed from the epidemiological figures, would that affect our claim that SLE can truly be a cause of uveitis. A similar question could be asked of anyone reporting on observations in a population of patients with sarcoidosis or with Behcet disease.Many such reports do not require biopsy proof of the diagnosis but routinely

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