Um caso de uma doença autoimune rara: doença de Vogt-Koyanagi-Harada

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Publicado: Jun 29, 2024
DOI: https://doi.org/10.52600/2763-583X.bjcr.2025.5.1.bjcr7
Palavras-chave:
Vitiligo, Uveíte, Hipoacusia, Vogt-Koyanagi-Harada

Conteúdo do artigo principal

Banyama Marie Diabri
Rheumatology Department, Bogodogo University Hospital
Yannick Laurent Tchenadoyo Bayala
Rheumatology Department, Bogodogo University Hospital
https://orcid.org/0009-0004-9095-8948
Marcellin Bonkoungou
Rheumatology Department, Bogodogo University Hospital
Awa Traoré
Rheumatology Department, Bogodogo University Hospital
Joelle Wenlassida Stephanie Zabsonre/Tiendrebeogo
Rheumatology Department, Bogodogo University Hospital
Dieu-Donné Ouedraogo
Rheumatology Department, Bogodogo University Hospital

Resumo

A doença de Vogt-Koyanagi-Harada (VKH) é um distúrbio autoimune raro. É excepcional em africanos subsaarianos negros. Um paciente dermatológico de 27 anos apresentou vitiligo segmentar progressivo associado à perda bilateral da acuidade visual, dor de cabeça e perda auditiva. Foram observadas máculas hipocrômicas que se estendiam até a superfície interna do lábio superior e até a região jugal direita. O exame da pele revelou poliose do bigode e do couro cabeludo. A inspeção com lâmpada de fenda revelou numerosos precipitados ceráticos corneanos. A tomografia de coerência óptica (OCT) revelou cicatrizes de coriorretinite no olho direito e atrofia macular e papilar no olho esquerdo. Audiometria de tons luminosos revelou perda auditiva significativa de primeiro grau de tipo misto bilateral. Foi feito o diagnóstico de síndrome de VKH. O paciente recebeu uma dose de bolus de metilprednisolona seguida de prednisona. A doença de VKH não é comum na África subsaariana. É essencial considerar esta doença em todos os casos de vitiligo segmentar.

Detalhes do artigo

Como Citar
Diabri, B. M., Bayala, Y. L. T., Bonkoungou, M., Traoré, A., Zabsonre/Tiendrebeogo, J. W. S., & Ouedraogo, D.-D. (2024). Um caso de uma doença autoimune rara: doença de Vogt-Koyanagi-Harada. Brazilian Journal of Case Reports, 5(1), bjcr7. https://doi.org/10.52600/2763-583X.bjcr.2025.5.1.bjcr7
Edição
v. 5 n. 1 (2025): January/December - 2025
Seção
Clinical Case Reports
Creative Commons License
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Biografia do Autor

Banyama Marie Diabri, Rheumatology Department, Bogodogo University Hospital

Rheumatology Department, Bogodogo University Hospital, Ouagadougou, Burkina Faso.

Yannick Laurent Tchenadoyo Bayala, Rheumatology Department, Bogodogo University Hospital

Rheumatology Department, Bogodogo University Hospital, Ouagadougou, Burkina Faso.

Marcellin Bonkoungou, Rheumatology Department, Bogodogo University Hospital

Rheumatology Department, Bogodogo University Hospital, Ouagadougou, Burkina Faso

Awa Traoré, Rheumatology Department, Bogodogo University Hospital

Rheumatology Department, Bogodogo University Hospital, Ouagadougou, Burkina Faso

Joelle Wenlassida Stephanie Zabsonre/Tiendrebeogo, Rheumatology Department, Bogodogo University Hospital

Rheumatology Department, Bogodogo University Hospital, Ouagadougou, Burkina Faso.

Dieu-Donné Ouedraogo, Rheumatology Department, Bogodogo University Hospital

Rheumatology Department, Bogodogo University Hospital, Ouagadougou, Burkina Faso.

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