Vogt-小柳-原田氏病临床特征分析

Clinical analysis on early diagnosis of Vogt-Koyanagi-Harada syndrome

目的:探求Vogt-小柳-原田氏病(Vogt-Koyanagi-Harada disease,VKH)早期确诊方法。方法:回顾性总结和分析10例20眼VKH患者的临床资料,特别就早期阶段眼底表现、眼外表现及眼底荧光素血管造影(fundus fluorescein angiography,FFA)检查结果等进行分析。结果:本病早期阶段眼底表现缺乏特异性,眼外表现个体差异较大,FFA具有典型、可靠的变化特征。结论:FFA检查是早期确诊VKH的可靠方法。

AIM： To analyze the clinical feature of Vogt-Koyanagi- Harada syndrome （VKH） in order to make an early diagnosis of the disease. METHODS： Twenty eyes of 10 cases were analyzed retrospectively, especially history, symptoms and signs, and fundus fluorescein angiography（FFA）. RESULTS： The patients might present various clinical signs and symptoms with no typical feature leading to diagnosis at the early stage of the disease except FFA findings. CONCLUSION： It is very difficult to give a diagnosis of VKH at the early stage because of its non typical features of clinical presentation. FFA might disclose some clues directing to the early diagnosis of VKH with some typical changes according to the analysis.