Skip to main content
Log in

A case of vogt-koyanagi-harada syndrome in a patient affected by hodgkin's disease

  • Short Communications
  • Published:
Journal of Neurology Aims and scope Submit manuscript

Summary

The Vogt-Koyanagi-Harada (VKH) syndrome, a disease of unknown origin, characterized by inflammation of the uveal tract, retina and meninges, was observed in a patient with Hodgkin's disease (HD) who had been treated with chemotherapy and radiotherapy. Ten years later the patient developed a cluster of neurological symptoms and signs (fever, pain, bilateral hypoacousia, dizziness, uveitis and psychiatric disorder) which were initially interpreted as a relapse of HD. The diagnosis of VKH syndrome was thereafter suspected from the clinical findings, response to therapy and further evolution. During the follow-up (14 months) the patient showed a varying course; hypoacousia remained unaltered while uveitis recurred and only a partial improvement was obtained by immunosuppressive therapy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Argov Z, Mastaglia FL (1979) Drug-induced peripheral neuropathies. Br Med J 1:663–665

    Google Scholar 

  2. Bender BL, Mayernik DG (1986) Hodgkin's disease presenting with isolated craniospinal involvement. Cancer 58:1745–1748

    Google Scholar 

  3. Bjerrum OW, Hansen OE (1985) Progressive multifocal leuco-encephalopathy in Hodgkin's disease. Scand J Haematol 34:442

    Google Scholar 

  4. Cavalli C, Gobbi PG, Colombo R, Riccardi A, Gorini M, Ascari E (1985) Un cas de sclérodermie avec crise rénale sclérodermique et association au syndrome de Vogt-Koyanagi Harada. Presse Mèd 14:1131–1134

    Google Scholar 

  5. Cervantes F, Montserrat E, Rozman C (1979) Eosinophilic meningitis in Hodgkin's disease. Ann Intern Med 91:930

    Google Scholar 

  6. Chi-Chao Chan, Palestine AG, Nussenblatt RB (1985) Antiretinal autoantibodies in Vogt-Koyanagi-Harada syndrome, Behcet's disease and sympathetic ophthalmia. Ophthalmology 92:1025–1028

    Google Scholar 

  7. Cowper AR (1951) Harada's disease and Vogt-Koyanagi syndrome uveoencephalitis. Arch Ophthalmol 45:367–376

    Google Scholar 

  8. Cuttner J, Meyer R, Yu Peng Huang (1979) Intracerebral involvement in Hodgkin's disease. A report of 6 cases and review of the literature. Cancer 43:1497–1506

    Google Scholar 

  9. Destée A, Benoit P, Roels M, Krivosic I, Francois P, Warot P (1984) Uveite et lymphome cérébral. Rev Neurol (Paris) 140:567–575

    Google Scholar 

  10. Dillman RO, Mueh J, Greco CM (1983) Leptomeningeal Hodgkin's disease. Ann Intern Med 99:342

    Google Scholar 

  11. Harada Y (1926) Beitrag zur klinischen Kenntnis von nichteitriger Choroiditis. Acta Soc Ophthalmol Jpn 30:356

    Google Scholar 

  12. Koyanagi Y (1929) Dysakusis, Alopecia and Poliosis bei schwerer Uveitis nicht traumatischen Ursprungs. Klin Monatsschr Augenheilkd 82:194–211

    Google Scholar 

  13. Limon S, Girard R, Bloch-Michel E, Guillevin L, Forest A (1985) Les aspects actuel du syndrome de Vogt-Koyanagi-Harada. J Fr Ophthalmol 8:29–35

    Google Scholar 

  14. Lubin JR, Lowenstein JI, Frederick AR Jr (1981) Vogt-Koyanagi-Harada syndrome with focal neurologic signs. Am J Ophthalmol 91:332–341

    Google Scholar 

  15. Manor RS (1978) Vogt-Koyanagi-Harada syndrome and related diseases. Handbook of clinical neurology, vol 34. Elsevier North Holland, Amsterdam, pp 513–544

    Google Scholar 

  16. Marshall G, Roessmann U, Van den Noort S (1968) Invasive Hodgkin's disease of brain. Report of two new cases and review of American and European literature with clinical-pathologic correlations. Cancer 22:622–630

    Google Scholar 

  17. Okubo K, Kurimoto S (1985) Surface markers of peripheral blood lymphocytes in Vogt-Koyanagi-Harada disease. J Clin Lab Immunol 17:49–52

    Google Scholar 

  18. Sapozink MD, Kaplan HS (1983) Intracranial Hodgkin's disease. A report of 12 cases and review of the literature. Cancer 52:1301–1307

    Google Scholar 

  19. Snyder DA, Tessler HH (1980) Vogt-Koyanagi-Harada syndrome. Am J Ophthalmol 90:69

    Google Scholar 

  20. Steinherz PG, Walker R, Kroll G (1983) Lymphomatous leptomeningitis as a presenting syndrome of Hodgkin's disease. Ann Intern Med 99:342–343

    Google Scholar 

  21. Ultmann JE, Moran E (1973) Hodgkin's disease. Clinical course and complications. Arch Intern Med 131:332–353

    Google Scholar 

  22. Vogt A (1906) Frühzeitiges Ergrauen der Zilien und Bemerkungen über den sogenannten plötzlichen Eintritt dieser Veränderung. Klin Monatsschr Augenheilkd 44:[428] 228–242

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Cipriani, D., Landonio, G. & Canepari, C. A case of vogt-koyanagi-harada syndrome in a patient affected by hodgkin's disease. J Neurol 236, 303–304 (1989). https://doi.org/10.1007/BF00314462

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00314462

Key words

Navigation