Aim: To report the case of a patient with bilateral anterior granulomatous keratouveitis and sunset glow fundus.
Method: Review of case record.
Results: A 15-year-old patient had bilateral anterior granulomatous keratouveitis and sunset glow fundus similar to findings in Vogt-Koyanagi-Harada disease (VKH). However, the patient also suffered additional autoimmune disease against endocrine glands. In addition to anti-thyroid antibody and anti-glutamic acid decarboxylase antibody, anti-melanocyte autoantibody was detected in serum from this patient. The authors finally diagnosed autoimmune polyglandular syndrome.
Conclusion: If resistance against treatment exists for VKH, particularly in pediatric cases, this disease should be considered and other endocrine disorders examined.
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| http://dx.doi.org/10.1080/09273940802596518 | DOI Listing |
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