Unusual Case of Vogt-Koyanagi-Harada Syndrome Presenting as Non-specific Headache.
نویسندگان
چکیده
Vogt-Koyanagi-Harada syndrome (VKH) is a bilateral intraocular granulomatous panuveitis which is frequently associated with systemic manifestations such as meningismus, tinnitus, poliosis and vitiligo of autoimmune aetiology. Headache by itself, does not fulfill the diagnostic criteria and is insufficient for the diagnosis. A 22-year-old male presented with a 10 day history of headache, followed by decreased vision in both eyes. Slit lamp biomicroscopy revealed sluggishly reactive pupils with anterior uveitis, mild vitritis and hyperaemic discs with bilateral exudative retinal detachments. All uveitis workups were negative. Follow up of three years revealed no neurological or auditory symptoms. Headache alone, followed by decreased vision, before the onset of neurological and auditory symptoms, can be an initial presentation of Vogt-Koyanagi-Harada (VKH) syndrome. VKH should be considered in the differential diagnosis of atypical presentations of headache.
منابع مشابه
Vogt-Koyanagi-Harada syndrome in a 4-year-old child.
Vogt-Koyanagi-Harada syndrome is an acquired illness with ocular, cutaneous, and/or neurologic features. A 4-year-old child who acutely developed visual disturbances and headache and was found to have serous retinal detachments and aseptic meningitis is presented. Improvement was rapid with corticosteroid therapy. This is the youngest reported patient with Vogt-Koyanagi-Harada syndrome.
متن کاملAcute Lymphoblastic Leukemia Manifesting as Acute Vogt-Koyanagi-Harada Disease
We describe a case of bilateral exudative retinal detachment associated with prodromal symptoms simulating the presentation of acute Vogt-Koyanagi-Harada disease that was eventually diagnosed as acute lymphoblastic leukemia. A 42-year-old man presented with sudden visual loss in both eyes for two weeks. He complained of intermittent headache, neck stiffness and tinnitus for a month. His best-co...
متن کاملIntravascular lymphomatosis with recurrent cerebral hemorrhages.
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...
متن کاملDifferentiating Vogt-Koyanagi-Harada syndrome from recurrent optic neuritis: a case report and review of the literature concerning Hispanic patients
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 کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Journal of clinical and diagnostic research : JCDR
دوره 8 4 شماره
صفحات -
تاریخ انتشار 2014