VOGT-KOYANAGI-HARADA SYNDROME IN A 4-YEAR-OLD CHILD

PURPOSE: We studied a case of severe bilateral Vogt-Koyanagi-Harada sy ndrome in a 4-year-old boy METHODS: We evaluated the patient's clinica l course. RESULTS: The patient had severe bilateral, nongranulomatous uveitis and mild uveitic glaucoma, Initial examination and laboratory evaluation failed to provide a diagnosis. The patient subsequently dev eloped areas of vitiligo, alopecia, and poliosis, suggesting the diagn osis of Vogt-Koyanagi-Harada syndrome. This diagnosis was confirmed by the eventual development of bilateral neurosensory retinal detachment s. Vision was lost despite aggressive therapy with corticosteroids and chlorambucil. CONCLUSION: Although uncommon, Vogt-Koy-anagi-Harada ma y affect young children, and may be severe.