A Woman With Headaches And Blurred Vision

    Kay Wei Ping Ng, Hock‐Luen Teoh, Erle C.H. Lim
    TLDR The woman was diagnosed with Vogt–Koyanagi–Harada disease and successfully treated with medication, restoring her vision and stopping headaches.
    A woman presented with headaches and blurred vision, which were diagnosed as Vogt-Koyanagi-Harada disease (VKHD), a rare autoimmune disorder affecting melanocytes. Fundal photographs and fluorescein fundal angiogram (FFA) showed characteristic signs of VKHD, including retinal striae and subretinal exudates. VKHD progresses through four phases: prodromal, uveitic, convalescent, and chronic recurrent, and can cause neurological, auditory, and cutaneous symptoms such as alopecia. The patient was treated with corticosteroids, resulting in significant improvement in her symptoms and vision. Early treatment is crucial to prevent ocular complications.
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