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A case of Vogt-Koyanagi-Harada syndrome with unusual clinical manifestations Naoko Nagamatsu 1 , Machiko Shimakawa 1 , Tadashi Tamura 1 1Dept of Ophthalmol National Medical Center pp.1015-1018
Published Date 1989/6/15
DOI https://doi.org/10.11477/mf.1410210859
  • Abstract
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A 30-year old female was diagnosed and treatedas conjunctivitis before diagnosed as Vogt-Koyanagi-Harada syndrome by us six weekslater. We started systemic prednisolone therapy ata massive dosis to be discontinued 30 days later.Soom after withdrawal of corticosteroid, thepatient responded by recurrence of iritis associatdwith aggravated hearing loss, pronounced alopecia,vertigo and spontaneous nystagmus. Equilibriumtests indicated peripheral vestibular dysfunction.Hearing tests indicated peripheral perceptive deaf-ness. Delay in initiation of corticosteroid therapyseemed to be a major cause for the protracted thecomplicated course of ocular and extraocular mani-festations of the disease.


Copyright © 1989, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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