Vogt-Koyanagi-Harada Disease Presenting With Progressive Visual Loss and Multisystem Involvement: A Case Report.
Samah A Elshweikh, Atheer G Almutairi, Husna Irfan Thalib et al.
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Case in brief
A 55-year-old Indian man presented with a 20-day history of progressive bilateral visual loss, headache, and hearing impairment. Examination revealed severe vision loss, anterior chamber inflammation, disc edema, and serous retinal detachments. Imaging confirmed neurosensory detachment and choroidal thickening. After excluding other causes, a diagnosis of Vogt-Koyanagi-Harada disease was made. The patient was treated with high-dose intravenous methylprednisolone and azathioprine, leading to stabilization of his condition.
Diagnostic / clinical pearl
Clinicians should be aware that early symptoms of Vogt-Koyanagi-Harada disease can mimic other conditions, necessitating prompt ophthalmologic evaluation and multimodal imaging for accurate diagnosis.
Why it matters
This case highlights the critical role of early intervention in VKH disease to prevent long-term complications associated with delayed diagnosis and treatment.