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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Work-up, diagnosis and management of acute Vogt-Koyanagi-Harada disease: A case of acute myopization with granulomatous uveitis
International Ophthalmology, Volume 27, No. 2-3, Year 2007
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Description
Purpose: In its typical form and when seen at onset, Vogt-Koyanagi-Harada (VKH) is characterized by easily recognizable signs that allow diagnosis without difficulty. In cases that do not have acute onset, that are seen at a later stage or that do not show the complete set of signs, appraisal is more difficult and diagnosis may cause difficulties. We present here a case of bilateral granulomatous uveitis compatible with VKH disease in order to allow several experts to give their opinion on the most appropriate manner to confirm or reject the diagnosis and their approach to the management of the case. Case presentation: A 17-year-old female patient consulted her ophthalmologist for blurred vision OU following an episode of a flu-like disease with malaise, fever and headaches. A bilateral anterior granulomatous uveitis with a right papillitis was diagnosed and the patient presented with a bilateral acute myopization. Fluorescein angiography showed right disc hyperfluorescence with late leakage and slight left disc hyperfluorescence. The patient was given a course of one week of peroral corticosteroid therapy followed by an intramuscular injection of Bentelan® twice weekly. In the absence of significant improvement the patient was sent six weeks later to a specialized center where a complete work-up was performed. Expert opinion: The diagnostic work-up, investigational tests, and differential diagnosis to confirm or reject the diagnosis of VKH as well as the management of the case will be described by the experts. © Springer Science+Business Media, Inc. 2007.
Authors & Co-Authors
Mantovani, Alessandro
Italy, Como
Ospedale Valduce
Resta, Anna
Italy, Como
Ospedale Valduce
Herbort, Carl P.
Switzerland, Lausanne
Centre for Ophthalmic Specialized Care (cos)
Switzerland, Lausanne
Université de Lausanne Unil
Abu El Asrar, Ahmed M.
Saudi Arabia, Jeddah
King Abdulaziz University
Kawaguchi, Tatsushi
Japan, Tokyo
Graduate School of Medical and Dental Sciences
Mochizuki, Manabu
Japan, Tokyo
Graduate School of Medical and Dental Sciences
Okada, Annabelle A.
Japan, Mitaka
Kyorin University Faculty of Medicine
Rao, Narsing A.
United States, Los Angeles
Doheny Eye Institute
Statistics
Citations: 19
Authors: 8
Affiliations: 7
Identifiers
Doi:
10.1007/s10792-007-9052-y
ISSN:
01655701
Research Areas
Health System And Policy
Participants Gender
Female