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- Title
Vogt-Koyanagi-Harada Disease with Onset in Elderly Patients Aged 68 to 89 Years.
- Authors
Yumiko Yamamoto; Atsuki Fukushima; Koji Nishino; Yuji Koura; Tsutomu Komatsu; Hisayuki Ueno
- Abstract
Abstract Background We present the clinical case reports of elderly Vogt-Koyanagi-Harada (VKH) disease patients, including the oldest patient at onset to date. Cases Four patients with VKH disease, whose ages at onset were 68 to 89 years, were treated at Kochi Medical School Hospital between December 2002 and September 2004. Observations Four elderly patients were diagnosed with VKH disease according to the International Revised Diagnostic Criteria for VKH disease. Two were treated with corticosteroid pulse therapy, but the other two could not tolerate high-dose steroid therapy and were treated with only topical corticosteroids. All had recurrences, which were treated effectively. None of these patients experienced recurrence after sunset glow fundus was observed in the follow-up period. Conclusions VKH disease is thought to be more common in younger people, but it is not as uncommon in elderly people as is generally believed. Among elderly VKH disease patients, some cannot tolerate high-dose corticosteroid therapy, so we need to treat these patients with only topical corticosteroids. Jpn J Ophthalmol 2007;51:60–63 Japanese Ophthalmological Society 2007
- Subjects
CASE studies; EYE inflammation; DISEASES in older people; DIAGNOSIS; ADRENOCORTICAL hormones; HORMONE therapy; STEROID drugs; HEALTH outcome assessment; PATIENTS
- Publication
Japanese Journal of Ophthalmology, 2007, Vol 51, Issue 1, p60
- ISSN
0021-5155
- Publication type
Article
- DOI
10.1007/s10384-006-0379-0