Acquired Brown's syndrome in a patient with systemic lupus erythematosus.
A 27 year old woman with systemic lupus erythematosus (SLE) developed vertical diplopia with an apparent bilateral inferior oblique muscle palsy, resulting in a limitation of elevation of the globe in adduction. It resolved with systemic steroid treatment. A transient tenosynovitis affecting the superior oblique tendons was the probable underlying pathological mechanism. This is the first described case of Brown's syndrome associated with SLE.
Alonso-Valdivielso
J L
JL
Rheumatology Section, Hospital General Yagüe, Instituto Nacional de la Salud, Burgos, Spain.
Alvarez Lario
B
B
Alegre López
J
J
Sedano Tous
M J
MJ
Buitrago Gómez
A
A
D000328:Adult; D004172:Diplopia / Q000209:etiology*; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D009801:Oculomotor Muscles; D013577:Syndrome; D013717:Tenosynovitis / Q000209:etiology*