Vogt-koyanagi-harada syndrome in a young patient
- International Journal of Family & Community Medicine
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Lorena Ribeiro Ciarlini, Aline Barbosa Pinheiro Bastos, Alana Andrade Neiva Santos, Ingrid Cavalcante Sarquis, Raissa Oliveira Campos, Fernanda Araújo Souza, Vitor Cruz Furtado, Alexis Galeno Matos
Abstract
Vogt-Koyanagi-Harada syndrome is a chronic bilateral autoimmune intraocular inflammation in which antibodies are produced against melanocyte tissues associated with neurological and skin changes, including headache, tinnitus, vitiligo, polyiosis, and alopecia. The disease occurs in distinct phases: the prodromal phase, the acute uveitic phase, the chronic or convalescent phase, and the chronic recurrent phase. The treatment should be early and is made using corticosteroids and immunomodulatory drugs. We report a case of a young patient with the syndrome who developed recurrence of the disease during oral corticosteroid weaning, and was treated with adalimumab.
Keywords
vogt-koyanagi-harada syndrome, panuveitis, exudative retinal detachment