creators_name: Sufi, AR creators_name: Zargar, S creators_name: Singh, T creators_id: aaliarasool_s@yahoo.com editors_name: Kakkilaya, Srinivas editors_id: BS Kakkilaya type: journale datestamp: 2012-11-09 17:37:20 lastmod: 2012-11-09 17:37:20 metadata_visibility: show title: Vogt-Koyanagi-Harada Syndrome in a 10 Years Old Child ispublished: pub subjects: OJHAS full_text_status: public keywords: Vogt-Koyanagi-Harada Syndrome; Poliosis; Vitiligo; Uveitis. abstract: The Vogt-Koyanagi-Harada (VKH) syndrome is a rare systemic disorder of uveitis, dysacousia, vitiligo, premature graying of the hair, eyebrows and eyelashes, and meningoencephalitis. Although frequently unrecognised,VKH may affect children. We report a case of a 10 year old girl who presented with headache and dimness of vision and was diagnosed as papillitis on the basis of bilateral disc edema. However over the course of time developed skin changes (poliosis, vitiligo over lower back) and depigmented patches in inferior fundus suggesting diagnosis of VKH disease. Thus the diagnosis is difficult in the absence of extraocular manifestations. In such cases the diagnosis is based on clinical evolution of the disease. date: 2011-07-30 date_type: published publication: Online Journal of Health and Allied Sciences volume: 10 number: 2 publisher: BS Kakkilaya refereed: TRUE referencetext: 1. Moorthy RS, Inomata H, Rao NA. Vogt-Koyanagi-Harada syndrome. Surv Ophthalmol 1995;39:265-292. 2. Vogt A. Fruhzeitiges Ergrauen der Zilien und Bemerkungen uber den sogenannten plotzlichen Eintritt dieser Veranderung. Klin Monatsbl Augenheilk 1906;44:228-242. 3. Koyanagi Y. Dysakusis, Alopecia und Poliosis bei schwerer Uveitis nicht trauma-tischen Ursprungs. Klin Monatsbl Augenheilk 1929;82:194-211. 4. Harada E. On the acute diffuse choroiditis. Acta Soc Ophthalmol Jpn 1926;30:356-378. 5. Suguira S. Vogt-Koyanagi-Harada disease. Jpn J Ophthalmol 1978;22:9-35. 6. Inomata H. Vogt-Koyanagi-Harada Disease. In: Yanoff M, Duker JS, editors. Ophthalmology. 2nd ed. Missouri: Mosby; 2004. pp. 1196-1198. 7. Russel WR, Holland GN, Rao NA, Tabarra KF, Ohno S, Arellanes-Garcia L, et al. Revised diagnostic criteria for Vogt-Koyanagi-Harada disease: report of an International Committee on Nomenclature. Am J Ophthalmol 2001;131:647-652. 8. Rathinam SR, Vijayalakshmi P, Namperumalsamy P, Nozik RA, Cunningham ET. Vogt-Koyanagi-Harada syndrome in children. Ocular Immunology & Inflammation1998;6(3):155-161. 9. Sawhney R, Jain R, Kumar S, Pannu BKS, Sood S. Glucose intolerance and Vogt-Koyanagi-Harada Syndrome. Asian Journal of Ophthalmol 2002;4:8-10. citation: Sufi, AR and Zargar, S and Singh, T (2011) Vogt-Koyanagi-Harada Syndrome in a 10 Years Old Child. [Journal (On-line/Unpaginated)] document_url: http://cogprints.org/7986/1/2011-2-24.pdf