Vogt Koyanagi Harada Syndrome mimicking multiple sclerosis: A case report and review of the literature

被引:50
作者
Algahtani, Hussein [1 ]
Shirah, Bader [2 ]
Algahtani, Raghad [3 ]
Alkahtani, Abdulah [3 ]
Alwadie, Saeed [4 ]
机构
[1] King Saud bin Abdulaziz Univ Hlth Sci, King Abdulaziz Med City, POB 12723, Jeddah 21483, Saudi Arabia
[2] King Saud bin Abdulaziz Univ Hlth Sci, King Abdullah Int Med Res Ctr, King, WI USA
[3] Saud bin Abdulaziz Univ Hlth Sci, Jeddah, Saudi Arabia
[4] Najran Univ, Najran, Saudi Arabia
关键词
Vogt Koyanagi Harada Syndrome; Multiple Sclerosis; MRI; DISEASE; DIAGNOSIS; INSIGHTS; PATIENT;
D O I
10.1016/j.msard.2017.01.003
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Vogt Koyanagi Harada (VKH) Syndrome, also called uveomeningioencephalitis, is a chronic disorder characterized by inflammation of the uvea, meninges, auditory system, and integumentary system. The association between VKH syndrome and multiple sclerosis (MS) has been reported only once in the literature in a patient who developed VKH syndrome after two years of the diagnosis of MS. In this article, we report a case who was misdiagnosed and treated as MS until she was proven to have VKH syndrome, and a diagnosis of MS was excluded. VKH syndrome is a systemic disorder that may present with clinical and/or radiological features mimicking MS. Applying diagnostic criteria is extremely important for confirming or excluding the diagnosis. Detailed history and physical examination are of paramount importance to score the final diagnosis. Rigorous search for red flags for both conditions is very helpful.
引用
收藏
页码:44 / 48
页数:5
相关论文
共 16 条
[1]  
Allegri P, 2011, J OPHTHALMIC VIS RES, V6, P284
[2]   MRI documented acute myelitis in a patient with Vogt-Koyanagi-Harada syndrome: First report [J].
Dahbour, Said S. .
CLINICAL NEUROLOGY AND NEUROSURGERY, 2009, 111 (02) :200-202
[3]   Immunological treatment of multiple sclerosis [J].
Diebold, Martin ;
Derfuss, Tobias .
SEMINARS IN HEMATOLOGY, 2016, 53 (02) :S54-S57
[4]   Vogt-Koyanagi-Harada disease: Novel insights into pathophysiology, diagnosis and treatment [J].
Du, Liping ;
Kijlstra, Aize ;
Yang, Peizeng .
PROGRESS IN RETINAL AND EYE RESEARCH, 2016, 52 :84-111
[5]   Acute Myelitis in a Patient with Vogt-Koyanagi-Harada Disease: Case Report and Review of the Literature [J].
Gu, Shaojuan ;
Liu, Yu ;
Song, Zhi ;
Zi, Xiaohong ;
Deng, Hao .
JOURNAL OF CLINICAL NEUROLOGY, 2013, 9 (01) :61-64
[6]   The diagnosis of multiple sclerosis and the various related demyelinating syndromes: A critical review [J].
Karussis, Dimitrios .
JOURNAL OF AUTOIMMUNITY, 2014, 48-49 :134-142
[7]   Vogt-Koyanagi-Harada disease: review of a rare autoimmune disease targeting antigens of melanocytes [J].
Lavezzo, Marcelo Mendes ;
Sakata, Viviane Mayumi ;
Morita, Celso ;
Caso Rodriguez, Ever Ernesto ;
Abdallah, Smairah Frutuoso ;
da Silva, Felipe T. G. ;
Hirata, Carlos Eduardo ;
Yamamoto, Joyce Hisae .
ORPHANET JOURNAL OF RARE DISEASES, 2016, 11
[8]  
Lohman BD, 2011, AM J NEURORADIOL, V32, pE169, DOI DOI 10.3174/AJNR.A2279
[9]   VOGT-KOYANAGI-HARADA SYNDROME WITH FOCAL NEUROLOGIC SIGNS [J].
LUBIN, JR ;
LOEWENSTEIN, JI ;
FREDERICK, AR .
AMERICAN JOURNAL OF OPHTHALMOLOGY, 1981, 91 (03) :332-341
[10]   Differential diagnosis of suspected multiple sclerosis: a consensus approach [J].
Miller, D. H. ;
Weinshenker, B. G. ;
Filippi, M. ;
Banwell, B. L. ;
Cohen, J. A. ;
Freedman, M. S. ;
Galetta, S. L. ;
Hutchinson, M. ;
Johnson, R. T. ;
Kappos, L. ;
Kira, J. ;
Lublin, F. D. ;
McFarland, H. F. ;
Montalban, X. ;
Panitch, H. ;
Richert, J. R. ;
Reingold, S. C. ;
Polman, C. H. .
MULTIPLE SCLEROSIS JOURNAL, 2008, 14 (09) :1157-1174