Anterior Nodular Scleritis Associated with Vogt-koyanagi-harada Disease: a Case Report
نویسنده
چکیده
Purpose To report a young patient who initially manifested with bilateral anterior nodular scleritis and subsequently developed ocular features typical of Vogt-Koyanagi-Harada (VKH) disease. Case description A 9-year-old girl was diagnosed with bilateral anterior nodular scleritis, which improved with topical administration of corticosteroids and systemic nonsteroidal anti-infl ammatory drugs. Four months later, after the treatment was withdrawn, she developed a recurrence of scleritis together with sunset glow fundus and Dalen-Fuchs nodules in both eyes. Conclusions Vogt-Koyanagi-Harada (VKH) disease might be associated with anterior nodular scleritis. Chiang Mai Medical Journal 2009;48(1):25-29.
منابع مشابه
Early manifestation of vogt-koyanagi-harada disease as unilateral posterior scleritis.
PURPOSE To describe a patient with an initial diagnosis of unilateral posterior scleritis who developed bilateral Vogt-Koyanagi-Harada (VKH) disease 12 months later. CASE A 38-year-old woman was diagnosed with posterior scleritis in her right eye at successive examinations. The left eye showed no signs of ocular inflammation. OBSERVATIONS Her right eye developed a second attack of posterior...
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Background: First recognized at the beginning of twentieth century and named after three authors who independently described some affected patients, Vogt-Koyanagi-Harada syndrome is a rare multisystemic autoimmune disease targeting melanin-containing tissues of the eye, meninges, inner ear and skin. It predominantly affects Asian people, but also people with darker skin pigmentation such as Nat...
متن کاملVogt-Koyanagi-Harada disease.
Vogt-Koyanagi-Harada (VKH) disease, also known as uveomeningitic syndrome, is an idiopathic multisystem inflammatory disease with bilateral uveitis. Patients with bilateral anterior uveitis with vitiligo, poliosis, alopecia, and dysacousia were first described by Vogt in 1906 and then Koyanagi in 1929. Harada described a case of posterior uveitis with exudative retinal detachment and pleocytosi...
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1. Moorthy RS, Inomata H, Rao NA. Vogt-KoyanagiHarada syndrome. Surv Ophthalmol 1995;39:265-92. 2. Yamaki K, Gocho K, Hayakawa K, Kondo I, Sakuragi S. Tyrosinase family proteins are antigens specific to Vogt-Koyanagi-Harada disease. J Immunol 2000;165:7323-9. 3. Read RW, Holland GN, Rao NA, Tabbara KF, Ohno S, ArellanesGarcia L, et al. Revised diagnostic criteria for Vogt-Koyanagi-Harada diseas...
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A 30 year old Malay male developed bilateral choroiditis followed by vitiligo, poliosis and canities. CT scan showed nodular thickening of the optic nerves. Characteristic abnormalities were seen in visual and brainstem auditory evoked potentials and fluorescein angiography. These findings were in keeping with the diagnosis of Vogt-Koyanagi-Harada syndrome. Treatment with dexamethasone resulted...
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