{
    "abstract": "Vogt-Koyanagi-Harada disease is a rare, multisystem, autoimmune disorder with numerous clinical manifestations, mediated through a T-helper 1 response against melanocytes in the eye, inner ear, central nervous system, hair and skin. We describe a 20-year-old British-Honduran man with recent worsening headache and photophobia, vomiting and visual blurring. On examination, his pupils reacted sluggishly and visual acuities were bilaterally reduced. Optical coherence tomography showed gross retinal swelling and neurosensory detachments. MR scan of the brain was normal, but cerebrospinal fluid showed a reactive picture with 258 \u00d710",
    "authors": [
        {
            "affiliation": "Department of Neurology, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK dstreet22@doctors.org.uk.",
            "firstname": "Duncan",
            "initials": "D",
            "lastname": "Street"
        },
        {
            "affiliation": "Department of Neurology, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK.",
            "firstname": "Arul",
            "initials": "A",
            "lastname": "Sivaguru"
        },
        {
            "affiliation": "Department of Ophthalmology, Birmingham and Midland Eye Centre, Birmingham, UK.",
            "firstname": "Sreekanth",
            "initials": "S",
            "lastname": "Sreekantam"
        },
        {
            "affiliation": "Birmingham Neuro-Ophthalmology Unit, Ophthalmology Department, University Hospitals Birmingham NHS Trust, Birmingham, UK.\nMetabolic Neurology, University of Birmingham, Birmingham, UK.",
            "firstname": "Susan P",
            "initials": "SP",
            "lastname": "Mollan"
        }
    ],
    "conclusions": null,
    "copyrights": "\u00a9 Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.",
    "doi": "10.1136/practneurol-2018-002152",
    "journal": "Practical neurology",
    "keywords": [
        "headache",
        "neuroophthalmology",
        "vision"
    ],
    "methods": null,
    "publication_date": "2019-03-21",
    "pubmed_id": "30890584",
    "results": null,
    "title": "Vogt-Koyanagi-Harada disease.",
    "xml": "<Element 'PubmedArticle' at 0x788504e4d490>"
}