Elevated Serum Immunoglobulin E Levels are Associated with the Severity of Newly Diagnosed, Acute Vogt-Koyanagi-Harada Disease

• Published in: Current eye research Vol. 47; no. 1; pp. 102 - 106
• Main Authors: Ji, Huiying, Zhang, Nan, Zhu, Maoli, Dong, Jianhong, Jiang, Zhijian
• Format: Journal Article
• Language: English
• Published: England Taylor & Francis 02.01.2022
• Subjects: Acute Disease; Adult; Biomarkers - blood; Disease Progression; Female; Fluorescein Angiography - methods; Follow-Up Studies; Fundus Oculi; Humans; immunoglobulin E; Immunoglobulin E - blood; Macula Lutea - diagnostic imaging; Male; optical coherence tomography; Patient Acuity; Retrospective Studies; Tomography, Optical Coherence - methods; Uveomeningoencephalitic Syndrome - blood; Uveomeningoencephalitic Syndrome - diagnosis; Uveomeningoencephalitic Syndrome - physiopathology; Visual Acuity; Vogt-Koyanagi-Harada disease; Vogt-Koyanagi-Harada disease; immunoglobulin E; optical coherence tomography
• ISSN: 0271-3683; 1460-2202
• DOI: 10.1080/02713683.2021.1951299

To investigate the correlation between serum immunoglobulin E (IgE) levels and severity of Vogt-Koyanagi-Harada (VKH) disease. The medical records of patients with VKH disease between 2015 and 2020 were reviewed. Serum immunoglobulins (IgA, IgE, IgG, and IgM), tumor necrosis factor α (TNFα) and C-reactive protein (CRP) were measured. Patients were divided into IgE-positive (IgE ≥ 100 IU/mL) and IgE-negative (IgE < 100 IU/mL) groups. The best-corrected visual acuity (BCVA) and macular morphologic characteristics including foveal thickness (FT), serous retinal detachment (SRD), sensory retinal thickness (SRT), central foveal thickness (CFT), cube volume (V), and cube average thickness (AT) were determined in patients in both groups. Of 128 patients included in the study, 35 (27.34%) patients were IgE-positive, BCVA (logMAR) was worse in the IgE-positive group. The mean CRP (P= .012) and TNFα (P≤ 0.001) levels were greater in the IgE-positive group than in the IgE-negative group. Regarding macular morphologic characteristics, FT (P= .010), SDR (P= .004), CFT (P= .008), V (P= .013), and AT (P= .006) were significantly greater in the IgE-positive group than in the IgE-negative group. Elevated serum IgE levels were associated with more severe macular changes in patients with VKH disease. These findings suggest that IgE may be involved in the progression of VKH disease.