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.
References
Argov Z, Mastaglia FL (1979) Drug-induced peripheral neuropathies. Br Med J 1:663–665
Bender BL, Mayernik DG (1986) Hodgkin's disease presenting with isolated craniospinal involvement. Cancer 58:1745–1748
Bjerrum OW, Hansen OE (1985) Progressive multifocal leuco-encephalopathy in Hodgkin's disease. Scand J Haematol 34:442
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
Cervantes F, Montserrat E, Rozman C (1979) Eosinophilic meningitis in Hodgkin's disease. Ann Intern Med 91:930
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
Cowper AR (1951) Harada's disease and Vogt-Koyanagi syndrome uveoencephalitis. Arch Ophthalmol 45:367–376
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
Destée A, Benoit P, Roels M, Krivosic I, Francois P, Warot P (1984) Uveite et lymphome cérébral. Rev Neurol (Paris) 140:567–575
Dillman RO, Mueh J, Greco CM (1983) Leptomeningeal Hodgkin's disease. Ann Intern Med 99:342
Harada Y (1926) Beitrag zur klinischen Kenntnis von nichteitriger Choroiditis. Acta Soc Ophthalmol Jpn 30:356
Koyanagi Y (1929) Dysakusis, Alopecia and Poliosis bei schwerer Uveitis nicht traumatischen Ursprungs. Klin Monatsschr Augenheilkd 82:194–211
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
Lubin JR, Lowenstein JI, Frederick AR Jr (1981) Vogt-Koyanagi-Harada syndrome with focal neurologic signs. Am J Ophthalmol 91:332–341
Manor RS (1978) Vogt-Koyanagi-Harada syndrome and related diseases. Handbook of clinical neurology, vol 34. Elsevier North Holland, Amsterdam, pp 513–544
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
Okubo K, Kurimoto S (1985) Surface markers of peripheral blood lymphocytes in Vogt-Koyanagi-Harada disease. J Clin Lab Immunol 17:49–52
Sapozink MD, Kaplan HS (1983) Intracranial Hodgkin's disease. A report of 12 cases and review of the literature. Cancer 52:1301–1307
Snyder DA, Tessler HH (1980) Vogt-Koyanagi-Harada syndrome. Am J Ophthalmol 90:69
Steinherz PG, Walker R, Kroll G (1983) Lymphomatous leptomeningitis as a presenting syndrome of Hodgkin's disease. Ann Intern Med 99:342–343
Ultmann JE, Moran E (1973) Hodgkin's disease. Clinical course and complications. Arch Intern Med 131:332–353
Vogt A (1906) Frühzeitiges Ergrauen der Zilien und Bemerkungen über den sogenannten plötzlichen Eintritt dieser Veränderung. Klin Monatsschr Augenheilkd 44:[428] 228–242
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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
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DOI: https://doi.org/10.1007/BF00314462