A Case of Vogt-Koyanagi-Harada Syndrome with Persistent Dyspnea Secondary to Laryngeal Edema
Purpose: We report a case of laryngeal edema associated with the Vogt-Koyanagi-Harada (VKH) syndrome. Patient and Methods: A 32-year-old African-American female presented with a 12-day prodrome, including headache, tinnitus and shortness of breath, which preceded sudden photophobia and bilateral vis...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2014-11-01
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| Series: | Case Reports in Ophthalmology |
| Subjects: | |
| Online Access: | http://www.karger.com/Article/FullText/369003 |
| _version_ | 1818990745688735744 |
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| author | Dimosthenis Mantopoulos Brad W. deSilva Colleen M. Cebulla |
| author_facet | Dimosthenis Mantopoulos Brad W. deSilva Colleen M. Cebulla |
| author_sort | Dimosthenis Mantopoulos |
| collection | DOAJ |
| description | Purpose: We report a case of laryngeal edema associated with the Vogt-Koyanagi-Harada (VKH) syndrome. Patient and Methods: A 32-year-old African-American female presented with a 12-day prodrome, including headache, tinnitus and shortness of breath, which preceded sudden photophobia and bilateral visual loss. Examination and clinical testing were most consistent with VKH, and the patient improved with intravenous methylprednisolone therapy. Results: The patient had persistent dyspnea, which was out of proportion to chest CT findings and which was exacerbated during a recurrence of VKH. Flexible fiberoptic laryngoscopy with stroboscopy revealed diffuse laryngeal edema. Symptoms were alleviated with breathing exercises. Conclusions: Several autoimmune diseases may cause diffuse laryngeal edema. In this case, VKH was associated with the patient's glottic edema and dyspnea. We recommend that laryngeal edema be considered in the differential diagnosis for patients with dyspnea and VKH. |
| first_indexed | 2024-12-20T19:59:15Z |
| format | Article |
| id | doaj.art-f303114429c04d1f90f83a4f1a6974c9 |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-12-20T19:59:15Z |
| publishDate | 2014-11-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-f303114429c04d1f90f83a4f1a6974c92022-12-21T19:28:06ZengKarger PublishersCase Reports in Ophthalmology1663-26992014-11-015336136410.1159/000369003369003A Case of Vogt-Koyanagi-Harada Syndrome with Persistent Dyspnea Secondary to Laryngeal EdemaDimosthenis MantopoulosBrad W. deSilvaColleen M. CebullaPurpose: We report a case of laryngeal edema associated with the Vogt-Koyanagi-Harada (VKH) syndrome. Patient and Methods: A 32-year-old African-American female presented with a 12-day prodrome, including headache, tinnitus and shortness of breath, which preceded sudden photophobia and bilateral visual loss. Examination and clinical testing were most consistent with VKH, and the patient improved with intravenous methylprednisolone therapy. Results: The patient had persistent dyspnea, which was out of proportion to chest CT findings and which was exacerbated during a recurrence of VKH. Flexible fiberoptic laryngoscopy with stroboscopy revealed diffuse laryngeal edema. Symptoms were alleviated with breathing exercises. Conclusions: Several autoimmune diseases may cause diffuse laryngeal edema. In this case, VKH was associated with the patient's glottic edema and dyspnea. We recommend that laryngeal edema be considered in the differential diagnosis for patients with dyspnea and VKH.http://www.karger.com/Article/FullText/369003Vogt-Koyanagi-Harada syndromeLaryngeal edemaGlottic edemaAutoimmune diseaseLaryngoscopy |
| spellingShingle | Dimosthenis Mantopoulos Brad W. deSilva Colleen M. Cebulla A Case of Vogt-Koyanagi-Harada Syndrome with Persistent Dyspnea Secondary to Laryngeal Edema Case Reports in Ophthalmology Vogt-Koyanagi-Harada syndrome Laryngeal edema Glottic edema Autoimmune disease Laryngoscopy |
| title | A Case of Vogt-Koyanagi-Harada Syndrome with Persistent Dyspnea Secondary to Laryngeal Edema |
| title_full | A Case of Vogt-Koyanagi-Harada Syndrome with Persistent Dyspnea Secondary to Laryngeal Edema |
| title_fullStr | A Case of Vogt-Koyanagi-Harada Syndrome with Persistent Dyspnea Secondary to Laryngeal Edema |
| title_full_unstemmed | A Case of Vogt-Koyanagi-Harada Syndrome with Persistent Dyspnea Secondary to Laryngeal Edema |
| title_short | A Case of Vogt-Koyanagi-Harada Syndrome with Persistent Dyspnea Secondary to Laryngeal Edema |
| title_sort | case of vogt koyanagi harada syndrome with persistent dyspnea secondary to laryngeal edema |
| topic | Vogt-Koyanagi-Harada syndrome Laryngeal edema Glottic edema Autoimmune disease Laryngoscopy |
| url | http://www.karger.com/Article/FullText/369003 |
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