Vogt-Koyanagi-Harada (VKH), a multisystem autoimmune bilateral panuveitis with systemic manifestations, is uncommon in immunocompromised patients such as human immunodeficiency virus (HIV)/acquired immunodeficiency disease syndrome (AIDS). We report a rare presentation of VKH in a 45-year-old HIV-positive female on highly active antiretroviral therapy (HAART) who presented with a history of recurrent panuveitis. A diagnosis of probable VKH was made based on ocular and systemic signs and symptoms. She was treated with topical and systemic steroids with close monitoring of CD4 counts and viral loads. After inflammation control, complicated cataract was managed surgically under perioperative steroid cover. VKH in HIV/AIDS has not been reported earlier. This case shows that significant inflammation can be seen even in HIV/AIDS patients on HAART with VKH in spite of moderate CD4 counts. Management is a challenge considering the systemic risks with long-term use of steroids.

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Lipoma, though one of the most common benign mesenchymal neoplasms, its presentation in hand is very rare. It can be located in various planes. Intramuscular lipomas are uncommon and usually occur in the proximal muscles of the extremities. Intramuscular lipoma of hand is extremely rare and only very few cases have been reported in the literature. Lipomas of hand may present with neurovascular deficit due to compression. We present here an unusual case of intramuscular lipoma of thenar region with no neurovascular deficit which was surgically excised under local anaesthesia with good cosmetic and functional outcome.

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