A Case of Vogt-Koyanagi-Harada Syndrome with Persistent Dyspnea Secondary to Laryngeal Edema

被引：0

作者：

Mantopoulos, Dimosthenis ^{[1
]}

Desilva, Brad W. ^{[2
]}

Cebulla, Colleen M. ^{[1
]}

机构：

[1] Ohio State Univ, Wexner Med Ctr, Havener Eye Inst, Dept Ophthalmol & Visual Sci, Columbus, OH 43210 USA

[2] Ohio State Univ, Wexner Med Ctr, Dept Otolaryngol Head & Neck Surg, Columbus, OH 43210 USA

来源：

CASE REPORTS IN OPHTHALMOLOGY | 2014年 / 5卷 / 03期

基金：

美国国家卫生研究院;

关键词：

Vogt-Koyanagi-Harada syndrome; Laryngeal edema; Glottic edema; Autoimmune disease; Laryngoscopy;

D O I：

10.1159/000369003

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

Purpose: We report a case of laryngeal edema associated with the Vogt-Koyanagi-Harada ( VKH) syndrome. Patient and Methods: A 32-year-old African-American female presented with a 12-day prodrome, including headache, tinnitus and shortness of breath, which preceded sudden photophobia and bilateral visual loss. Examination and clinical testing were most consistent with VKH, and the patient improved with intravenous methylprednisolone therapy. Results: The patient had persistent dyspnea, which was out of proportion to chest CT findings and which was exacerbated during a recurrence of VKH. Flexible fiberoptic laryngoscopy with stroboscopy revealed diffuse laryngeal edema. Symptoms were alleviated with breathing exercises. Conclusions: Several autoimmune diseases may cause diffuse laryngeal edema. In this case, VKH was associated with the patient's glottic edema and dyspnea. We recommend that laryngeal edema be considered in the differential diagnosis for patients with dyspnea and VKH. (C) 2014 S. Karger AG, Basel

引用

页码：361 / 364

页数：4

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