The Pan-American Journal of Ophthalmology

CASE REPORT
Year
: 2022  |  Volume : 4  |  Issue : 1  |  Page : 54-

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


Raul E Ruiz-Lozano, I Jocelyn Rivera-Alvarado, Luis A Rodriguez-Gutierrez, Lucas A Garza-Garza, Alejandro Rodriguez-Garcia 
 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
Mexico

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.


How to cite this article:
Ruiz-Lozano RE, Rivera-Alvarado I J, Rodriguez-Gutierrez LA, Garza-Garza LA, Rodriguez-Garcia A. Simultaneous clinical presentation of Vogt-Koyanagi-Harada disease and ocular tuberculosis: A diagnostic and therapeutic challenge.Pan Am J Ophthalmol 2022;4:54-54


How to cite this URL:
Ruiz-Lozano RE, Rivera-Alvarado I J, Rodriguez-Gutierrez LA, Garza-Garza LA, Rodriguez-Garcia A. Simultaneous clinical presentation of Vogt-Koyanagi-Harada disease and ocular tuberculosis: A diagnostic and therapeutic challenge. Pan Am J Ophthalmol [serial online] 2022 [cited 2023 Jan 29 ];4:54-54
Available from: https://www.thepajo.org/article.asp?issn=2666-4909;year=2022;volume=4;issue=1;spage=54;epage=54;aulast=Ruiz-Lozano;type=0