Vogt-Koyanagi-Harada (SVKH): case report

Introduction: We describe a case of Vogt-Koyanagi-Harada syndrome (SVKH) of unknown etiology. Clinic case: 18 year-old female with a history of conjunctival erythema and decreased visual acuity from 6 months, treated with corticoids. She was admitted with headache, disturbance of consciousness and fever. At physical examination: full moon face, marked conjunctival injection, cervical jiba, incipient poliosis, and discrete alopecia. Decreased corneal reflex bilaterally. Meningeal signs, bilateral Babinski, anterior bilateral exudative uveitis. Laboratory tests: leukocytosis with left shift, hyperglycemia, serum immunoglobulins Ig G and Ig M positive for Herpes I and Toxoplasma, LCR: 27% mononuclear cells 100, 108 mg / dl glucose, 54mg/dl protein. Discussion: We describe a case that presented: meningeal or prodromal phase, uveítica, convalescent and chronic - recurrent in the course of their disease. The clinical outcome was favorable, but the recurrence after withdrawal of corticosteroids with decreased visual acuity and bilateral uveitis target in the diagnosis of SVKH. During follow-up intraocular inflammation remained in a chronic loss of visual acuity that does not match the visual prognosis in SVKH described in the literature. We present this case for the unusual presentation of symptoms wealth.