Magnetic resonance imaging of acquired Brown syndrome in a patient with psoriasis.
OBJECTIVE
To report the occurrence of acquired Brown syndrome and associated magnetic resonance imaging findings in a patient with psoriasis.


METHODS
A 42-year-old woman with a history of psoriasis developed pain, double vision, and limited elevation of her left eye in adduction. An orbital magnetic resonance image with gadolinium enhancement was obtained.


RESULTS
Orbital magnetic resonance image disclosed abnormal enhancement of the left trochlea/tendon complex. The patient's symptoms resolved with corticosteroid therapy.


CONCLUSIONS
Acquired Brown syndrome may be associated with psoriasis. The inflammation of the trochlea/tendon complex that can cause acquired Brown syndrome can be demonstrated on magnetic resonance image.
Department of Ophthalmology, Scheie Eye Institute, Hospital of the University of Pennsylvania, University of Pennsylvania School of Medicine, Philadelphia, USA.
J E
JE
Thorne
N J
NJ
Volpe
G T
GT
Liu
D000328:Adult; D015535:Arthritis, Psoriatic / Q000150:complications*; D004172:Diplopia / Q000175:diagnosis / Q000209:etiology; D005141:Eyelid Diseases / Q000175:diagnosis / Q000209:etiology; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D015835:Ocular Motility Disorders / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*; D009801:Oculomotor Muscles / Q000187:drug effects / Q000473:pathology*; D010146:Pain / Q000209:etiology; D011241:Prednisone / Q000627:therapeutic use; D013577:Syndrome
D011241:Prednisone