Headache in late pregnancy: a symptom for Vogt–Koyanagi–Harada disease
- 152 Downloads
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.
KeywordsHeadache Uveitis Vogt–Koyanagi–Harada
- 1.Rao KP, Rao NA (2006) Vogt–Koyanagi–Harada Disease. In: Ryan SJ, Hinton DR, Schachat AP, Wilkinson P (eds) Retina, 4th edn. Elsevier Mosby, Maryland, pp 1827–1837Google Scholar
- 4.Ohkawara Y, Makino S (2009) A case of Vogt–Koyanagi–Harada disease treated with systemic steroid administration after delivery in a patient at the 37th week of pregnancy. Folia Japonica de Ophthalmol Clin 2:616–619 (in Japanese)Google Scholar