Document Detail


Triple agent immunosuppressive therapy in Vogt-Koyanagi-Harada syndrome.
MedLine Citation:
PMID:  17162603     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To describe the role of triple agent immunosuppression in severe recalcitrant cases of Vogt-Koyanagi-Harada syndrome. MATERIALS AND METHODS: Retrospective chart review of five cases of Vogt-Koyanagi-Harada syndrome. RESULTS: All cases were treated with oral prednisolone, azathioprine, and cyclosporine in combination, and rapid remission was observed in all patients. The synergistic effect of the triple agent immunosuppressives helped in preventing recurrences. Prolonged treatment with steroid sparing immunosuppressives in severe and recalcitrant cases of Vogt-Koyanagi-Harada syndrome maintained disease remission. CONCLUSION: Severe cases of Vogt-Koyanagi-Harada syndrome can be treated with early use of high-dose triple agent immunosuppressives.
Authors:
Mamta Agarwal; Sudha K Ganesh; Jyotirmay Biswas
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Ocular immunology and inflammation     Volume:  14     ISSN:  0927-3948     ISO Abbreviation:  Ocul. Immunol. Inflamm.     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-12-12     Completed Date:  2007-02-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9312169     Medline TA:  Ocul Immunol Inflamm     Country:  England    
Other Details:
Languages:  eng     Pagination:  333-9     Citation Subset:  IM    
Affiliation:
Medical Research Foundation, Sankara Nethralaya, Chennai, India.
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MeSH Terms
Descriptor/Qualifier:
Adult
Azathioprine / therapeutic use*
Cyclosporine / therapeutic use*
Drug Therapy, Combination
Female
Follow-Up Studies
Fundus Oculi
Glucocorticoids / therapeutic use*
Humans
Immunosuppressive Agents / therapeutic use*
Middle Aged
Ophthalmoscopy
Prednisolone / therapeutic use*
Remission Induction / methods
Retrospective Studies
Uveomeningoencephalitic Syndrome / drug therapy*,  pathology
Chemical
Reg. No./Substance:
0/Glucocorticoids; 0/Immunosuppressive Agents; 446-86-6/Azathioprine; 50-24-8/Prednisolone; 59865-13-3/Cyclosporine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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