Authors: Vinay Gupta, Kalpana Sharma, Pramod Guleria, RL Sharma
Vogt Koyanagi Harada is a multisystem, granulomatous autoimmune disease with delayed onset of cutaneous manifestation. The case of an adolescent male with bilateral decreased vision is presented. The patient was diagnosed Vogt-Koyanagi-Harada (VKH) syndrome, with extraocular systemic manifestations in the form of sensory neural hearing loss (SNHL) and greying of scalp hairs at initial presentation which is very rare as cutaneous involvement usually occurs 2 to 3 months after the onset of disease. The syndrome may result in permanent visual loss but prompt treatment with corticosteroid therapy can restore vision. Therefore early ophthalmologic consultation must be sought. Keywords: Vogt-Koyanagi-Harada, Sensory neural hearing loss, Greying hairs.
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