Posterior scleritis in Cogan's syndrome.
OBJECTIVE
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.
Gonçalves
Roberto M
RM
Federal University of Minas Gerais, Ophthalmology, Belo Horizonte, Minas Gerais, Brazil.
Curi
André L L
AL
Campos
Wesley R
WR
Oréfice
Fernando
F
Machado
Danuza O
DO
D000284:Administration, Oral; D000305:Adrenal Cortex Hormones / Q000008:administration & dosage / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage / Q000627:therapeutic use; D015862:Choroid Diseases / Q000150:complications* / Q000175:diagnosis; D005451:Fluorescein Angiography; D006319:Hearing Loss, Sensorineural / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009883:Ophthalmic Solutions; D011241:Prednisone / Q000008:administration & dosage / Q000627:therapeutic use; D012163:Retinal Detachment / Q000150:complications* / Q000000981:diagnostic imaging; D015423:Scleritis / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D013577:Syndrome; D014463:Ultrasonography; D014657:Vasculitis / Q000150:complications*
D000305:Adrenal Cortex Hormones; D000893:Anti-Inflammatory Agents; D009883:Ophthalmic Solutions; D011241:Prednisone