Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Mantopoulos, Dimosthenis, deSilva, Brad W., Cebulla, Colleen M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4327331/
https://www.ncbi.nlm.nih.gov/pubmed/25759662
http://dx.doi.org/10.1159/000369003
Descripción
Sumario: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.