Relapsing-remitting painful ophthalmoplegia due to orbital myositis.
We describe a woman with a long history of relapsing-remitting painful ophthalmoplegia in a seasonal pattern, due to an isolated orbital myositis that was--at our observation--classified in the context of the so-called SAPHO syndrome. She had been previously treated with corticosteroid therapy, but the association with immunosuppressive drugs produced a more prompt resolution of both the headache and ophthalmoplegia, and of the magnetic resonance imaging pictures of isolated myositis as well.
Guaschino
E
E
Department of Clinical Medicine, Ospedale di Circolo, Università dell'Insubria, Varese, Italy. neurova@tin.it
Zandrini
C
C
Minonzio
G
G
Mancioli
A
A
Broggini
M
M
Bono
G
G
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D009886:Ophthalmoplegia / Q000188:drug therapy / Q000209:etiology*; D016727:Orbital Pseudotumor / Q000150:complications* / Q000188:drug therapy; D012008:Recurrence
D000305:Adrenal Cortex Hormones; D000893:Anti-Inflammatory Agents