Vogt-Koyanagi-Harada Syndrome.

The Vogt-Koyanagi-Harada (VKH) syndrome is a rare systemic disorder of uveitis, dysacousia, vitiligo, premature graying of the hair, eyebrows and eyelashes, and meningoencephalitis. Although frequently unrecognised,VKH may affect children. We report a case of a 10 year old girl who presented with headache and dimness of vision and was diagnosed as papillitis on the basis of bilateral disc edema. However over the course of time developed skin changes(poliosis,vitiligo over lower back)and depigmented patches in inferior fundus suggesting diagnosis of VKH disease.Thus the diagnosis is difficult in the absence of extraocular manifestations.In such cases the diagnosis is based on clinical evolution of the disease.