A case of Vogt-koyanagi-harada Syndrome Mimicking Optic Neuritis. | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2018]

Author(s):

1. Muhammad Mateen Amir: Department of Ophthalmology, Al-Khidmat Teaching Hospital, Mansoora / University College of Medicine and Dentistry, University of Lahore, Lahore, Pakistan

2. Atif Masood: Department of Ophthalmology, Al-Khidmat Teaching Hospital, Mansoora / University College of Medicine and Dentistry, University of Lahore, Lahore, Pakistan

3. Zarmina Khan: Department of Ophthalmology, Al-Khidmat Teaching Hospital, Mansoora / University College of Medicine and Dentistry, University of Lahore, Lahore, Pakistan

Abstract:

Vogt-Koyanagi-Harada syndrome is a rare disease that occurs commonly in pigmented individuals of Asian origin. A 25-year female presented in medical outpatient department (OPD) of Al-Khidmat Teaching Hospital, Mansoora, Lahore with headache and neck stiffness. She was referred to eye OPD for the complaint of decreased vision. On examination, there was 6/24 vision, sluggish pupillary reaction and disc hyperemia in both eyes. She was treated as a case of optic neuritis. Few days later, she developed bilateral panuveitis, shallow exudative detachments and alopecia. Clinical picture with normal magnetic resonance imaging (MRI) and laboratory tests helped us in reaching the diagnosis of Vogt-KoyanagiHarada syndrome.

Page(s): 325-326

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 28, Issue: 4, Year: 2018

Keywords:

Keywords are not available for this article.

References:

[1] LavezzoMM,SakataVM,MoritaC,RodriguezEE,AbdallahSF,FelipeTG, 2016.Vogt-Koyanagi-Harada disease: review of a rare autoimmune disease targeting antigens of melanocytes,Orphanet J Rare Dis 11 1 -21

[2] 2016.Kanski clinical ophthalmology. A systematic approach,Brad Bowling, 8thedition publisher Elsevier 415 -6

[3] ReadRW,HollandGN,RaoNA,TabbaraKF,OhnoS,Arellanes-GarciaL, 2001.Revised diagnostic criteria for VogtKoyanagi-Harada disease: Report of an international committee on nomenclature,Am J Ophthalmol 131 647 -52

[4] Datoo O'KeefeGA,RaoNA, 2017.Major review Vogt-KoyanagiHarada disease,Surv Ophthalmol 62 1 -25

[5] RajendramR,EvansM,KhuranaRN,TsaiJH,RaoNA, 2007.VogtKoyanagi-Harada disease presenting as optic neuritis,Int Ophthalmol 27 217 -20

[6] AhmadSS,HassanFA., 2015.A case of Vogt-Koyanagi-Harada disease mimicking sympathetic ophthalmia,J Coast Life Medi 3 585 -7

[7] BoLi,RicardaJ,GonderJR, 2016.A case of unilateral and spontaneously resolving posterior uveitis with overlapping features of Vogt-Koyanagi-Harada disease and acute posterior multifocal placoid pigment epitheliopathy,Springer Plus 5 1471 -

[8] PradeepAV,Arun KumarJS,NaveenKN,RaoS,ShettyS., 2014.Unusual case of Vogt-Koyanagi-Harada syndrome presenting as non-specific headache,J Clin Diagnost Res 8 VD06 -7

[9] ShaojuanGu,LiuY,SongZ,XiaohongZi, 2013.Acute Myelitis in a patient with Vogt-Koyanagi-Harada disease: case report and review of the literature,J Clin Neurol 9 61 -4

[10] AkramS,AhmadK.,Vogt-, 2014.Harada syndrome,J Coll Physicians Surg Pak 24 692 -4

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