Abstract
Purpose:
To describe an unusual case of atypical Cogan's syndrome with features of posterior scleritis.
Methods:
Interventional case report.
Results:
A 53-year-old man presented with bilateral posterior scleritis, along with sensorineural hearing loss and systemic vasculitis. Systemic corticosteroid therapy was started with resolution of ophthalmic findings and improvement of vestibuloauditory symptoms.
Conclusions:
In the setting of atypical Cogan's syndrome, ophthalmic manifestations may be the first sign of disease.
MeSH terms
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Administration, Oral
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Adrenal Cortex Hormones / administration & dosage
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Adrenal Cortex Hormones / therapeutic use
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Anti-Inflammatory Agents / administration & dosage
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Anti-Inflammatory Agents / therapeutic use
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Choroid Diseases / complications*
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Choroid Diseases / diagnosis
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Fluorescein Angiography
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Hearing Loss, Sensorineural / complications*
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Humans
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Male
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Middle Aged
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Ophthalmic Solutions
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Prednisone / administration & dosage
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Prednisone / therapeutic use
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Retinal Detachment / complications*
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Retinal Detachment / diagnostic imaging
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Scleritis / complications*
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Scleritis / diagnostic imaging
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Scleritis / drug therapy
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Syndrome
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Ultrasonography
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Vasculitis / complications*
Substances
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Adrenal Cortex Hormones
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Anti-Inflammatory Agents
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Ophthalmic Solutions
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Prednisone