An unusual case of painful ophthalmoplegia in a patient with rheumatoid arthritis.
A 43-year-old woman with long-standing rheumatoid arthritis and systemic lupus erythematosus had pain and horizontal diplopia. Clinical symptoms were consistent with inflammation of the right superior oblique tendon sheath, but a computed tomographic scan showed no pathology. Treatment with systemic corticosteroids reduced the symptoms, but the patient was left with a persistent muscle imbalance.
Knopf
H L
HL
Washington University School of Medicine, St. Louis.
D000328:Adult; D001172:Arthritis, Rheumatoid / Q000150:complications*; D004172:Diplopia / Q000209:etiology; D005133:Eye Movements; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications; D009886:Ophthalmoplegia / Q000188:drug therapy / Q000209:etiology*; D010146:Pain / Q000209:etiology; D011239:Prednisolone / Q000627:therapeutic use
D011239:Prednisolone