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Vogt-Koyanagi-Harada disease in a 9-year-old girl Masao Takahashi 1 , Masahiro Kasai 1 , Yousuke Harada 1 , Eriko Matsusita 1 , Ken Fukuda 1 , Atsuki Fukushima 1 1Department of Ophthalmology, Kochi Medical School pp.567-572
Published Date 2016/4/15
DOI https://doi.org/10.11477/mf.1410211775
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Abstract Purpose: To report a nine-year-old girl who developed Vogt-Koyanagi-Harada(VKH)disease.

Case: A 9-year-old girl was referred to us with metamorphopsia and impaired vision in both eyes as the chief complaint.

Findings: Corrected visual acuity was 0.2 right and 0.1 left. Both eyes showed multiple areas of serous retinal detachment. The cerebrospinal fluid showed pleocytosis mainly consisting of monocytes. She was treated by intravenous methylprednisolone at the daily dosis of 16.7 mg/kg for 3 days followed by tapering dosis of peroral prednisolone 1 mg/kg per day. Clinical findings rapidly improved with no recurrence for 9 months until present.

Conclusion: High systemic dosis of corticosteroids was effective for VKH disease in a child.


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

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