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[Role of systematic ophthalmological screening for congenital toxoplasmosis: epidemiological study of an Alsatian cohort from 1990 to 2011].
[congenital toxoplasmosis]
Ophthalmologic
complications
of
congenital
toxoplasmosis
,
such
as
retino-choroiditis
,
are
particularly
feared
.
Any
child
with
confirmed
congenital
toxoplasmosis
is
systematically
treated
and
followed
regularly
with
multiple
fundus
examinations
.
The
goal
of
our
study
is
to
describe
the
management
and
monitoring
of
a
cohort
of
patients
with
congenital
toxoplasmosis
in
Alsace
,
and
the
impact
of
this
disease
in
terms
of
parental
anxiety
using
a
standardized
questionnaire
.
Our
study
recorded
35
children
with
congenital
toxoplasmosis
,
born
between
1990
and
2011
in
Alsace
.
All
patients
were
followed
by
an
ophthalmologist
.
A
standardized
questionnaire
concerning
the
experience
of
pregnancy
and
post-
natal
follow-up
was
administered
to
the
parents
.
At
birth
,
retinochoroiditis
was
detected
in
2
of
the
35
children
,
and
only
one
child
developed
chorioretinitis
detected
during
follow-up
monitoring
(
follow-up
ranged
from
1
to
22
years
)
.
Brain
abnormalities
were
noted
in
3
children
at
birth
;
none
of
them
have
presented
with
chorioretinitis
to
this
day
.
An
average
score
of
15
out
of
23
was
found
by
our
standardized
questionnaire
,
reflecting
significant
anxiety
due
to
congenital
toxoplasmosis
.
Parental
anxiety
due
to
congenital
toxoplasmosis
is
obvious
,
as
demonstrated
by
our
standardized
questionnaire
.
Follow-up
,
directed
by
comprehensive
pediatric
examination
at
birth
,
including
fundus
examination
,
and
good
information
on
functional
signs
of
ocular
toxoplasmosis
may
improve
screening
,
so
as
to
avoid
impact
on
visual
function
.
Diseases
Validation
Diseases presenting
"visual function"
symptom
adrenomyeloneuropathy
aniridia
coats disease
cohen syndrome
congenital toxoplasmosis
homocystinuria without methylmalonic aciduria
oculocutaneous albinism
zellweger syndrome
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