Letter to the Editor

Archives of Gynecology and Obstetrics

, Volume 283, Issue 6, pp 1423-1425

Headache in late pregnancy: a symptom for Vogt–Koyanagi–Harada disease

  • Shigeki MatsubaraAffiliated withDepartment of Obstetrics and Gynecology, Jichi Medical University Email author 
  • , Tomoyuki KuwataAffiliated withDepartment of Obstetrics and Gynecology, Jichi Medical University
  • , Yuriko OhkawaraAffiliated withDepartment of Ophthalmology, Jichi Medical University
  • , Shinji MakinoAffiliated withDepartment of Ophthalmology, Jichi Medical University

Rent the article at a discount

Rent now

* Final gross prices may vary according to local VAT.

Get Access

Abstract

Headache in late pregnancy is warning of the presence of severe and/or lethal disorders. Here, we present a case of Vogt–Koyanagi–Harada disease (VKH), in which headache was the preceding and predominant symptom. At 37 weeks of pregnancy, a Japanese 1-para woman with an uneventful pregnancy complained of severe headache and then blurred vision. Although we initially diagnosed this condition as pregnancy-associated retinal detachment, headache and blurred vision persisted after delivery. Eye anterior segment lesions appeared and VKH disease was diagnosed, with systemic steroid administration completely ameliorating both the headache and visual disturbance. Obstetricians must be aware that headache may be the first sign of VKH disease.

Keywords

Headache Uveitis Vogt–Koyanagi–Harada