DR. RAGHU A C

DR. SARITA PANDA

Abstract

Objective: To report about the occurrence of this rare disease and outcome of treatment.

Patient Information: 35 yr old female

complained of Vertigo,Tinnitus, Hearing loss, Loss of hair over scalp,progressive diminution of vision RE followed by LE for 3 months.

Examination: Scalp: vitiligo patches with alopecia. Eyebrows: vitiligo patches, eyelashes: poliosis(B/L), conjunctiva: mild circumcorneal congestion.

S/L-Features of chronic anterior uveitis.Few fine KPS(BES) Grade 1+ cells & flare in AC(BES).Segmental posterior synechia.

Fundus: optic disc hyperemia. Pigmentary changes in central retina.

FFA: late leakage with moth eaten appearance.

Investigations Hb%-8gm%, Liver enzymes were elevated.Renal function tests & thyroid profile-normal.Audiometry revealed –B/L SNHL of moderate degree (50-60db) loss;CSF study- lymphocytic pleocytosis.

Treatment: Started on topical prednisolone (1%) & IV methylprednisolone (500mg) – 3 days followed by oral prednisolone(60mg/day) with Cycloplegics.