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伏格特-小柳-原田(VKH)综合征:给医疗保健专业人员的新视角

Vogt-Koyanagi-Harada (VKH) syndrome: A new perspective for healthcare professionals.

作者信息

Patil Yojana B, Garg Ruchira, Rajguru Jagadish Prasad, Sirsalmath Manjunath, Bevinakatti Varsha A, Kumar Manish, Sharma Sonika

机构信息

Department of Public Health Dentistry, Tatyasaheb Kore Dental College and Research Centre, Kolhapur, Maharashtra, India.

BDS, Private Practitioner, Chandravardai Nagar, Ajmer, Rajasthan, India.

出版信息

J Family Med Prim Care. 2020 Jan 28;9(1):31-35. doi: 10.4103/jfmpc.jfmpc_787_19. eCollection 2020 Jan.

Abstract

Vogt-Koyanagi-Harada syndrome (VKH syndrome) is a rare granulomatous inflammatory disease that affects the melanin pigment producing melanocytes and mainly affects the pigmented structures such as eyes, ear, skin, meninges, and hair. VKT is an autoimmune disorder, which is mainly a T CD4+ Th1 lymphocyte-mediated aggression to melanocytes, in individuals with a genetic predisposition, in particular, the presence of HLA-DRB1 * 0405 allele. Melanin usually gives color to skin, hair, and eyes. Melanin is also found in the retina, where it plays a role in normal vision. This disease mainly leads to vision and hearing disturbances, followed by dermal problems. The most common symptoms include vitiligo, headaches, hair loss (alopecia), and hearing loss. This article describes the various signs and symptoms of VKH disease and its pathogenesis.

摘要

伏格特-小柳-原田综合征(VKH综合征)是一种罕见的肉芽肿性炎症性疾病,它会影响产生黑色素的黑素细胞,主要累及眼睛、耳朵、皮肤、脑膜和毛发等色素结构。VKT是一种自身免疫性疾病,主要是T CD4+ Th1淋巴细胞介导的对黑素细胞的攻击,发生在具有遗传易感性的个体中,特别是存在HLA-DRB1 * 0405等位基因的个体。黑色素通常赋予皮肤、头发和眼睛颜色。视网膜中也存在黑色素,它在正常视觉中发挥作用。这种疾病主要导致视力和听力障碍,其次是皮肤问题。最常见的症状包括白癜风、头痛、脱发和听力损失。本文描述了VKH病的各种体征和症状及其发病机制。

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