“…108 The exact cause of this condition remains unknown, but cell-mediated autoimmunity directed against a melanocyte antigen, which may be a member of the tyrosinase family of proteins, appears to be the common mechanism. 144 VKH is associated with HLA-DR1 and HLA-DR4, 145 highly related to HLA-DRB1*0405 in people of Japanese and Asian heritage. 146,147 In experimental models, tyrosinase family proteins have been documented to induce an autoimmune disease that strongly resembles VKH.…”