Abstract
Cogan’s syndrome (CS) is an immune-mediated disease characterized by ocular inflammation and audiovestibular dysfunction with or without vasculitis or other systemic manifestations (1). Audiovestibular disease that is difficult to treat can lead to the loss of hearing (2). By a timely recognition and initiation of glucocorticoid therapy at the onset of the disease, poor outcomes, especially complete hearing loss, could sometimes be prevented (2). Certain patients may require long-term corticosteroid therapy because of recurrent hearing loss during attempts to taper the prednisone dose (3). We report Cogan’s syndrome in a 14 year-old-girl with marked deterioration of hearing power following tapering of corticosteroid therapy.
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