क्लिनिकल एवं प्रायोगिक कार्डियोलॉजी

क्लिनिकल एवं प्रायोगिक कार्डियोलॉजी
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Vogt-Koyanagi-Harada Syndrome Associated to Hypothyroidism Revealed by Myocarditis

F Ben Fredj Ismail, A Mzabi, M Karmani, A Rezgui, H Mhiri and C Laouani-Kechrid

Purpose: Vogt-Koyanagi-Harada (VKH) syndrome is usually defined as an uveo-meningitis with or without auditory and cutaneous signs. Association of VKH syndrome and autoimmune thyroiditis is uncommon.
Observation: A 28-year-old man was admitted with thoracic pain due to myocarditis. Two years ago he was treated by corticosteroids and immunosuppressive for VKH syndrome with specific ocular manifestation and deafness. Etiologic investigation of myocarditis concluded to deep hypothyroidism related to Hashimoto thyroiditis. The patient improved after substitutive treatment by thyroid hormones.
Conclusion: Thyroid function should be systematically investigated in case of VKH syndrome and particularly when associated to dysthyroidism symptoms.

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