Acute Myelitis in a Patient with Vogt-Koyanagi-Harada Disease: Case Report and Review of the Literature.
- Author:
Shaojuan GU
1
;
Yu LIU
;
Zhi SONG
;
Xiaohong ZI
;
Hao DENG
Author Information
- Publication Type:Case Report
- Keywords: Vogt-Koyanagi-Harada disease; acute myelitis; pathogenesis
- MeSH: Adrenal Cortex Hormones; Asian Continental Ancestry Group; Female; Humans; Hypesthesia; Mobility Limitation; Myelitis; Neurologic Manifestations; Recurrence; Urination; Uveitis; Uveomeningoencephalitic Syndrome
- From:Journal of Clinical Neurology 2013;9(1):61-64
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND: Vogt-Koyanagi-Harada (VKH) disease is characterized by bilateral granulomatous uveitis with neurologic, auditory, and dermatologic manifestations. However, acute myelitis complicating VKH disease has rarely been reported. CASE REPORT: A 50-year-old Chinese Han woman presented with difficulty walking, numbness on the left side of the body, and difficulty with urination. The patient was diagnosed with incomplete VKH disease and received corticosteroid treatment prior to the neurological presentation. Acute myelitis was diagnosed based on both clinical and spinal-cord MRI findings. CONCLUSIONS: Clinicians should consider acute myelitis as a rare possible neurological manifestation in VKH disease patients, and early systemic administration of corticosteroids will suppress the acute inflammatory process and prevent recurrences. This report raises the possibility that VKH disease and acute myelitis share common pathogenic pathways.
