Isolated sixth nerve palsy as initial manifestation of systemic lupus erythematosus. A case report.
A 35-year-old woman with an isolated, transient sixth cranial nerve palsy was found to have a positive fluorescent antinuclear antibody test with a pattern and titer most consistent with systemic lupus erythematosus. Mild anemia and leukopenia were also present. Over 2 months she improved without treatment. Nervous system disease in systemic lupus erythematosus and the unusual nature of presentation in this case are discussed.
D000010:Abducens Nerve; D000328:Adult; D003937:Diagnosis, Differential; D004172:Diplopia / Q000209:etiology; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000175:diagnosis*; D009886:Ophthalmoplegia / Q000209:etiology*; D014794:Visual Fields