Skip to main content

Vogt-Koyanagi-Harada Disease

  • Chapter
Intraocular Inflammation

Abstract

Vogt-Koyanagi-Harada disease (VKH) is a granulomatous inflammatory disorder affecting the eyes, auditory system, meninges, and skin. An association with ocular inflammation and poliosis was reported by Vogt in 1906. Harada (1926) and Koyanagi (1929) independently described ocular inflammation associated with cerebrospinal fluid pleocytosis and dermal depigmentation, respectively. Later, the disorders described by Vogt, Koyanagi, and Harada were considered to be the same disease process, which came to be known as VKH.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 299.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 379.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Al-Kharashi AS, Aldibhi H, Al-Fraykh H et al (2007) Prognostic factors in Vogt-Koyanagi-Harada disease. Int Ophthalmol 27:201–210

    Article  PubMed  Google Scholar 

  2. Bouchenaki N, Herbort CP (2001) The contribution of indocyanine green angiography to the appraisal and management of Vogt-Koyanagi-Harada disease. Ophthalmology 108:54–64

    Article  CAS  PubMed  Google Scholar 

  3. Choudhary A, Harding SP, Bucknall RC et al (2006) Mycophenolate mofetil as an immunosuppressive agent in refractory inflammatory eye disease. J Ocul Pharmacol Ther 22:168–175

    Article  CAS  PubMed  Google Scholar 

  4. Gocho K, Kondo I, Yamaki K (2001) Identification of autoreactive T cells in Vogt-Koyanagi-Harada disease. Invest Ophthalmol Vis Sci 42:2004–2009

    CAS  PubMed  Google Scholar 

  5. Harada E (1926) Beitrag zur klinishcen Kenntnis von nichteitriger Choroiditis (Choroiditis diffusa acuta). Acta Soc Ophthalmol Jpn 30:356–378

    Google Scholar 

  6. Inomata H, Rao NA (2001) Depigmented atrophic lesions in sunset glow fundi of Vogt-Koyanagi-Harada disease. Am J Ophthalmol 131:607–614

    Article  CAS  PubMed  Google Scholar 

  7. Kase S, Rao NA (2008) Comment on the recent publication “Conjunctival nodules associated with Vogt-Koyanagi-Harada disease”. Graefes Arch Clin Exp Ophthalmol 246:323, author reply 325–326

    Article  PubMed  Google Scholar 

  8. Kitaichi N, Yorie Y, Ohno S (2008) Prompt therapy reduces the duration of systemic corticosteroids in Vogt-Koyanagi-Harada disease. Graefes Arch Clin Exp Ophthalmol 246:1641–1642

    Article  PubMed  Google Scholar 

  9. Kitamura M, Takami K, Kitaichi N et al (2005) Comparative study of two sets of criteria for the diagnosis of Vogt-Koyanagi-Harada’s disease. Am J Ophthalmol 139:1080–1085

    Article  PubMed  Google Scholar 

  10. Koyanagi Y (1929) Dysakusis alopecia und Poliosis bei schwerer Uveitis nicht traumatischen Ursprungs. Klin Monatsbl Augenheilkd 67:194–211

    Google Scholar 

  11. Mizuuchi K, Kitaichi N, Namba K et al (2013) Trabecular meshwork depigmentation in Vogt-Koyanagi-Harada disease. Jpn J Ophthalmol 57:245–251

    Article  PubMed  Google Scholar 

  12. Moorthy RS, Inomata H, Rao NA (1995) Vogt-Koyanagi-Harada syndrome. Surv Ophthalmol 39:265–292

    Article  CAS  PubMed  Google Scholar 

  13. Rao NA (1997) Mechanisms of inflammatory response in sympathetic ophthalmia and VKH syndrome. Eye 11(Pt 2):213–216

    Article  PubMed  Google Scholar 

  14. Rao NA (2007) Pathology of Vogt-Koyanagi-Harada disease. Int Ophthalmol 27:81–85

    Article  PubMed  Google Scholar 

  15. Read RW, Holland GN, Rao NA et al (2001) Revised diagnostic criteria for Vogt-Koyanagi-Harada disease: report of an international committee on nomenclature. Am J Ophthalmol 131:647–652

    Article  CAS  PubMed  Google Scholar 

  16. Read RW, Yu F, Accorinti M et al (2006) Evaluation of the effect on outcomes of the route of administration of corticosteroids in acute Vogt-Koyanagi-Harada disease. Am J Ophthalmol 142:119–124

    Article  CAS  PubMed  Google Scholar 

  17. Shindo Y, Ohno S, Yamamoto T et al (1994) Complete association of the HLA-DRB1*04 and -DQB1*04 alleles with Vogt-Koyanagi-Harada’s disease. Hum Immunol 39:169–176

    Article  CAS  PubMed  Google Scholar 

  18. Sukavatcharin S, Tsai JH, Rao NA (2007) Vogt-Koyanagi-Harada disease in Hispanic patients. Int Ophthalmol 27:143–148

    Article  PubMed  Google Scholar 

  19. Vogt A (1906) Fruhzeiiges ergrauen der Zilien und Bemerkungen uber den sogenannten plotzlichen Eintritt diaser Veranderung. Klin Monatsbl Augenheilkd 44:228–242

    Google Scholar 

  20. Wakefield D, McCluskey P (1991) Cyclosporine: a therapy in inflammatory eye disease. J Ocul Pharmacol 7:221–226

    CAS  PubMed  Google Scholar 

  21. Yamaki K, Kondo I, Nakamura H et al (2000) Ocular and extraocular inflammation induced by immunization of tyrosinase related protein 1 and 2 in Lewis rats. Exp Eye Res 71:361–369

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

The authors thank Dr. Izumi Yamamoto and Dr. Shigeaki Ohno for providing the illustrations.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Satoru Kase MD, PhD .

Editor information

Editors and Affiliations

1 Electronic Supplementary Material

Below is the link to the electronic supplementary material.

Case Report 14

Vogt Koyanagi-Harada (PPT 5861 kb)

Case Report 30

Vogt-Koyanagi Harada disease (PPT 9980 kb)

Case Report 47

Atypical case of Vogt-Koyanagi-Harada (PPT 3338 kb)

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Kase, S., Rao, N.A. (2016). Vogt-Koyanagi-Harada Disease. In: Zierhut, M., Pavesio, C., Ohno, S., Orefice, F., Rao, N. (eds) Intraocular Inflammation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-75387-2_96

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-75387-2_96

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-75385-8

  • Online ISBN: 978-3-540-75387-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics