Neurology: Case of the Month

Test Yourself — Patient 14

Vogt-Koyanagi-Harada Syndrome (VKH)

1. The incidence of VKH per 100,000 in the United States is:
   • [ A ] .1 to .6
   • [ B ] 1 to 5
   • [ C ] 6 to 10
   • [ D ] 10 to 20
2. All the following symptoms/signs are associated with VKH syndrome EXCEPT:
   • [ A ] Eye pain
   • [ B ] Dysacusis
   • [ C ] Headaches
   • [ D ] Internuclear ophthalmoplegia
3. VKH occurs more often in:
   • [ A ] Fair individuals
   • [ B ] Females
   • [ C ] Patients with a history of ocular trauma
   • [ D ] Patients over the age of 60
4. VKH is characterized by:
   • [ A ] Meningeal irritation
   • [ B ] Panuveitis
   • [ C ] Dermatologic changes
   • [ D ] All of the above
5. The pathogenesis of VKH is believed to be due to an:
   • [ A ] Autoimmune process
   • [ B ] Infectious disease
   • [ C ] Earlier eye trauma or surgery
   • [ D ] Infiltrative lesion

 

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