VKH with APECED in a Two-Year-Old Child: A Rare Concomitant Diagnosis in an Unprecedented Age.

Autor: Hassan, Lameece Moustafa, Hassan, Mona M., Shady, Hend Abou, Khedr, Dina
Předmět:
Zdroj: Ocular Immunology & Inflammation; May2024, Vol. 32 Issue 4, p433-436, 4p
Abstrakt: Purpose: To present a case of Vogt Koyanagi Harada (VKH) associated with autoimmune polyendocrinopathy- candidiasis-ectodermal dystrophy syndrome (APECED) in a two-year-old. Case Presentation: A two-year-old type 1 diabetic with hypothyroidism presented with impaired fixation. Ocular examination revealed right vitritis, choroiditis, a hyperemic disc, and an area of exudative detachment. At the same time, there was no fundus view in the left eye, and ultrasonographic assessment revealed vitritis and a thickened choroid. Patient developed sunset glow fundus with alopecia, poliosis and vitiligo and a diagnosis of complete VKH with APECED was made. Conclusion: APECED is a rare endocrine disorder and has been reported to be associated with VKH twice. Likewise, VKH is commonly present in much older patients; this is the first time ever to be diagnosed in a two-year-old child. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index