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Year : 2022  |  Volume : 4  |  Issue : 1  |  Page : 54

Simultaneous clinical presentation of Vogt-Koyanagi-Harada disease and ocular tuberculosis: A diagnostic and therapeutic challenge

Tecnologico de Monterrey, School of Medicine and Health Sciences, Institute of Ophthalmology and Visual Sciences, Monterrey, Mexico

Correspondence Address:
Alejandro Rodriguez-Garcia
Instituto De Oftalmologia Y Ciencias Visuales Centro Medico Zambrano Hellion, Av. Batallon De San Patricio No. 112. Col. Real De San Agustin, N.L. CP. 66278
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/pajo.pajo_45_22

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The simultaneous occurrence of an infectious and an autoimmune systemic disorder associated with bilateral panuveitis is always feasible but improbable. While Vogt-Koyanagi-Harada requires prompt systemic corticosteroids and immunosuppressives, ocular tuberculosis (TB) requires multiple antibiotic therapies, and to a certain extent, corticosteroids to avoid inflammatory damage to crucial intraocular structures. We report a patient with granulomatous bilateral panuveitis, in which VKH and ocular TB were diagnosed simultaneously. This case emphasizes the importance of ruling out TB in the presence of a granulomatous panuveitis, despite the lack of pulmonary manifestations, especially in an endemic country. The hindmost because both diseases require different treatments.

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