How high is high in steroid treatment of Vogt-Koyanagi-Harada syndrome
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Vogt-Koyanagi-Harada syndrome (VKH) is a disease with a bilateral uveitis, dermatologic findings, and neurologic deficits. High-dose corticosteroid therapy frequently improves visual involvement in VKH. [1] Recently, Helveston and Gilmore [2] reported treatment of VKH with intravenous immunoglobulin, although prednisone (80 mg/d) treatment had not ameliorated neurologic signs in their patient. We report a patient who had successful treatment with high-dose oral betamethasone after having failed with standard oral prednisolone. We discuss initial treatment of neurologic signs in VKH with high-dose corticosteroids.
Case report.
A 37-year-old Japanese man noticed …
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