Description

Cogan syndrome is a disorder of unknown cause featuring both inflammatory eye disease and hearing loss.


 

Essential diagnostic features:

(1) inflammatory eye disease (interstitial keratitis, iritis, uveitis, scleritis and/or episcleritis)

(2) sudden-onset sensorineural hearing loss (hypoacusis, hypacusis)

(3) exclusion of syphilis, toxic effect, hereditary condition and infection

 

Clinical findings:

(1) history of cigarette smoking

(2) vasculitis

(3) vertigo or tinnitus

(4) ataxia

(5) oscillopsia

(6) nystagmus

(7) headache

(8) arthralgia or arthritis

(9) fever

(10) myalgia

(11) conjunctivitis

(12) photophobia

(13) rash

(14) aortitis or aortic sclerosis

(15) peripheral neuropathy

 

Laboratory findings:

(1) anemia

(2) leukocytosis

(3) thrombocytosis

(4) elevated ESR

(5) elevated CRP

(6) antineutrophil cytoplasmic antibody with perinuclear pattern (occasional)

 


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