How is Cogans syndrome diagnosed?
It is a clinical diagnosis and should be suspected when IK or other ocular manifestations are accompanied by audiovestibular disease in the absence of another underlying disorder.
The presence of either ocular or ear manifestations in isolation can make the diagnosis extremely challenging. Slit-lamp examination and audiovestibular testing are necessary. Laboratory evidence of systemic inflammation may be present. There is no role for checking autoantibodies unless clinical suspicion exists for a particular associated disorder. Microbiologic te
