Cogan syndrome in children: early diagnosis and treatment is critical to prognosis.
OBJECTIVE
To present two cases of pediatric Cogan Syndrome and to highlight the differences between the adult and pediatric forms of the disease, as well as the importance of early diagnosis and treatment.


METHODS
Interventional case report.


METHODS
Institutional setting.


RESULTS
Corneal lesions were much more diffuse than those observed in adult Cogan syndrome. Immunosuppressive drug combination therapy successfully resolved systemic and ocular inflammation, but the involvement of the pupillary area caused permanent low vision in one case and amblyopia in the other.


CONCLUSIONS
When chronic ocular inflammation is observed in association with sensory neural hearing loss and any systemic signs of autoimmune inflammation, a diagnosis of Cogan syndrome should be suspected. If immunosuppressive treatment is not initiated as soon as possible, permanent low vision and deafness can result.
Orsoni
Jelka G
JG
Ophthalmology Department, University of Parma, Parma, Italy. jorsoni@unipr.it
Zavota
Laura
L
Vincenti
Vincenzo
V
Pellistri
Isabella
I
Rama
Paolo
P
D000550:Amblyopia / Q000209:etiology; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D001241:Aspirin / Q000627:therapeutic use; D001327:Autoimmune Diseases / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D002648:Child; D002675:Child, Preschool; D016572:Cyclosporine / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005438:Fludrocortisone / Q000627:therapeutic use; D006319:Hearing Loss, Sensorineural / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy*; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D007634:Keratitis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy*; D008297:Male; D008727:Methotrexate / Q000627:therapeutic use; D011379:Prognosis; D013577:Syndrome; D014657:Vasculitis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy*; D015354:Vision, Low / Q000209:etiology
D000894:Anti-Inflammatory Agents, Non-Steroidal; D007166:Immunosuppressive Agents; D016572:Cyclosporine; D001241:Aspirin; D005438:Fludrocortisone; D008727:Methotrexate