Wand K, Abraham S, Loos D, Stumpfe S, Lohmann C, Maier M, Feucht N
Klinik und Poliklinik für Augenheilkunde, Klinikum rechts der Isar, Technische Universität München, Ismaningerstr. 22, 81675, München, Deutschland.
Ophthalmologe. 2015 Oct;112(10):857-60. doi: 10.1007/s00347-015-3238-x.
This article describes the case of a 22-year old female patient, who first presented with holocephalic headaches and bilateral loss in vision. After diagnosis of a complete Vogt-Koyanagi-Harada syndrome, high-dose corticosteroid therapy was initiated. Due to recurrent headaches 6 weeks later, immunosuppressive therapy was initiated with cyclosporine A. Because of an adverse effect (hirsutism) treatment was changed to azathioprine. In a long-term follow-up over 2 years the patient showed stable clinical findings with good visual acuity.
本文描述了一名22岁女性患者的病例,该患者最初表现为全头部头痛和双侧视力丧失。在诊断为完全性Vogt-小柳-原田综合征后,开始使用大剂量皮质类固醇治疗。6周后由于复发性头痛,开始使用环孢素A进行免疫抑制治疗。由于出现不良反应(多毛症),治疗改为硫唑嘌呤。在超过2年的长期随访中,患者的临床症状稳定,视力良好。