VKH with APECED in a Two-Year-Old Child: A Rare Concomitant Diagnosis in an Unprecedented Age.
Ocul Immunol Inflamm
; 32(4): 433-436, 2024 May.
Article
in En
| MEDLINE
| ID: mdl-38412247
ABSTRACT
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.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Uveomeningoencephalitic Syndrome
/
Polyendocrinopathies, Autoimmune
Limits:
Child, preschool
/
Female
/
Humans
Language:
En
Journal:
Ocul Immunol Inflamm
Journal subject:
ALERGIA E IMUNOLOGIA
/
OFTALMOLOGIA
Year:
2024
Document type:
Article
Affiliation country:
Egipto