Cogan’s syndrome – a cause of uncommon diagnostic and therapeutic problems

Cogan’s syndrome is a rare autoimmunological disease involving structures of the eye and the ear. In some cases, particularly at the beginning of the disease occurring nonspecific systemic symptoms, such us fever, arthralgia, headache, cough, dyspnea and hemoptysis, may lead to misdiagnosis. We present a case of atypical Cogan’s syndrome in man who had been treated for rheumatoid arthritis for three years.

REFERENCES (12)

Orsoni JG, Zavota L, Vincenti V, et al. Cogan syndrome in children: early diagnosis and treatment is critical to prognosis. Am J Ophthalmol 2004; 137: 757-758. .

Google Scholar

Maalikjy Akkawi N, Mattioli F, Pezzini A, Vignolo LA. A case of Cogan’s syndrome. Neurol Sci 2000; 21: 183-184. .

Google Scholar

Baumann A, Helbling S, Oertle R, et al. Cogan’s syndrome: clinical evolution of deafness and vertigo in three patients. Eur Arch Otorhinolaryngol 2005; 262: 45-49. .

Google Scholar

Lunardi C, Bason C, Leandri M, et al. Autoantibodies to inner ear and endothelial antigens in Cogan’s syndrome. Lancet 2002; 360: 915-921. .

Google Scholar

Grasland A, Pouchot J, Hachulla E, et al.; Study Group for Cogan’s Syndrome. Typical and atypical Cogan’s syndrome: 32 cases and review of the literature. Rheumatology 2004; 43: 1007-1015. .

Google Scholar

Minet M, Deggouj N, Gersdorff M. Cochlear implantation in patients with Cogan’s syndrome: a review of four cases. Eur Arch Otorhinolaryngol 1997; 254: 459-462. .

Google Scholar

Selivanova O, Haxel BR, Mann WJ. Das Cogan-Syndrom: Eine diagnostische Herausforderung. HNO 2006; 54: 619-623. .

Google Scholar

Lepur D, Vranjican Z, Himbele J, et al. Chlamydia pneumoniae infection as a trigger for a Cogan’s syndrome. J Infect 2006; 52: 223-226. .

Google Scholar

Cundiff J, Kansal S, Kumar A, et al. Cogan’s syndrome: a cause of progressive hearing deafness. Am J Otolaryngol 2006; 27: 68-70. .

Google Scholar

10.

Seel J. Cogan-I-syndrome. Interstitial keratitis with sudden deafness. Albrecht Von Graefes Arch Klin Exp Ophthalmol 1972; 185: 281-287. .

Google Scholar

11.

Touma Z, Nawwar R, Hadi U, et al. The use of TNF-αlfa blockers in Cogan’s syndrome. Rheumatol Int 2007; 27: 995-996. .

Google Scholar

12.

Vaiopoulos G, Sfikakis PP, Skoumas B, et al. Lack of response to corticosteroids and pulse cyclophosphamide therapy in Cogan’s syndrome. Clin Rheumatol 1994; 13: 110-112.

Google Scholar

Copyright: © Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie. This is an Open Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (https://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.

Submit your paper

eISSN:	2084-9834
ISSN:	0034-6233