Wesley Ribeiro Campos, Juliana Fulgêncio Henriques, Afrânio Lineu Kritski, André Curi, Rosita Tomishi Pimentel, Silvana Spindola de Miranda
Objective: To describe the occurrence of tuberculous uveitis (TBU) at a referral center in the state of Minas Gerais, Brazil. Methods: A total of
16 consecutive patients (≥15 years of age) who underwent diagnostic evaluation of uveitis between January of 2001 and July of 2004 at the
Minas Gerais State Referral Center were selected for study. Demographic and clinical data, as well as data related to screening for toxoplasmosis,
syphilis, and rheumatologic diseases, together with the results of tuberculin skin testing and HIV testing, were collected. Results: Of
the16 patients evaluated, 11 (69%) were found to have TBU. A history of contact with pulmonary tuberculosis was reported by 8 (72%) of the
11 patients with TBU and by 1 (20%) of the 5 with non-TBU. Although the odds ratio for this association was 10.67 (95% CI: 0.59-398.66),
the p value was borderline significant (p = 0.078). There was no difference between the patients with TBU and those with non-TBU in terms
of the status of ocular inflammation or the tuberculin skin testing results. All of the patients were HIV negative and were monitored for two
years. Conclusion: In this study, a history of contact with pulmonary tuberculosis proved to be useful in diagnosing TBU.
Keywords: Tuberculosis; Uveitis; Diagnosis; Brazil.