Vitiligo on Vogt-Koyanagi-Harada Disease

Meiza, Irvin Aldikha, Renni Yuniati, Radityastuti, Meira Dewi Kusuma Astuti

2019

Abstract

Vogt-Koyanagi-Harada (VKH) disease is a rare granulomatous inflammatory disease that affects the pigmented structure. The etiopathogenic of this syndrome remains unclear; itis proposed as an autoimmune disorder. Diagnosis of VKH is made based on least 3 of the following four criteria of The American Uveitis Society (Bilateral iridocyclitis, posterior uveitis, neurological sign, cutaneous findings of vitiligo, poliosis or alopecia) and an absence of prior trauma or surgery. Treatment for repigmentation of vitiligo is non-surgical and/or surgical, which yield good result. This case report is aimed to give more understanding of the diagnosis and management of vitiligo on VKH. A 47-year-old male with the complaint of white spots presented previously on the face for three weeks. The patient was referred from the ophthalmology department with bilateral iridocyclitis and panuveitis. There was no hearing loss. From the physical examination, hypopigmented macules and poliosis were found on the eyebrows. Histopathological examination supported the diagnosis of vitiligo. The patient was treated with methylprednisolone tablet 16 mg 2-0-1, and fluticasone propionate cream 0.05% every 12 hours on the affected skin. The prognosis of this patient was quo ad vitam ad bonam quo ad sanam ad malam and quo ad cosmeticam dubia ad bonam. In this case, we found 3 of the four criteria of diagnosis is Bilateral iridocyclitis, posterior uveitis, cutaneous findings of vitiligo, and poliosis. The patient was given high potency topical corticosteroids twice daily and oral corticosteroid. It showed significant clinical improvement after four months.

Paper Citation

in Harvard Style

Meiza., Aldikha I., Yuniati R., Radityastuti. and Astuti M. (2019). Vitiligo on Vogt-Koyanagi-Harada Disease.In Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI, ISBN 978-989-758-469-5, pages 389-393. DOI: 10.5220/0009989803890393

in Bibtex Style

@conference{ictromi19,
author={Meiza and Irvin Aldikha and Renni Yuniati and Radityastuti and Meira Dewi Kusuma Astuti},
title={Vitiligo on Vogt-Koyanagi-Harada Disease},
booktitle={Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI,},
year={2019},
pages={389-393},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0009989803890393},
isbn={978-989-758-469-5},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI,
TI - Vitiligo on Vogt-Koyanagi-Harada Disease
SN - 978-989-758-469-5
AU - Meiza.
AU - Aldikha I.
AU - Yuniati R.
AU - Radityastuti.
AU - Astuti M.
PY - 2019
SP - 389
EP - 393
DO - 10.5220/0009989803890393