Vogt-Koyanagi-Harada disease - A diagnostic pitfall for neurologists

Minji Song; Seol-Hee Baek; Sun-Uk Lee; Sungwook Yu; Ji-Soo Kim

doi:10.1016/j.ensci.2021.100390

Vogt-Koyanagi-Harada disease - A diagnostic pitfall for neurologists

eNeurologicalSci. 2021 Dec 23:26:100390. doi: 10.1016/j.ensci.2021.100390. eCollection 2022 Mar.

Authors

Minji Song¹, Seol-Hee Baek¹, Sun-Uk Lee^{1

2}, Sungwook Yu^{1

3}, Ji-Soo Kim^{2

4}

Affiliations

¹ Department of Neurology, Korea University Medical Center, Seoul, Republic of Korea.
² Department of Neurology, Seoul National University College of Medicine, Seoul, Republic of Korea.
³ Department of Neurology, Korea University College of Medicine, Seoul, Republic of Korea.
⁴ Dizziness Center, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.

Abstract

•VKH is an idiopathic autoimmune disease presenting with uveomeningeal syndrome.•Granulomatous uveitis and serious retinal detachments are the most common findings of VKH.•VKH can masquerade as IIH by presenting with severe headache and optic disc edema.•The characteristic retinal finding of VKH can be easily missed by direct funduscopy.

Keywords: IIH, idiopathic intracranial hypertension; Idiopathic intracranial hypertension; LND, Light-near dissociation; Optic disc edema; RAPD, relative afferent pupillary defect; VKH, Vogt-Koyanagi-Harada disease; Vogt-Koyanagi-Harada disease.