title: Limited Wegener's Granulomatosis Presenting with an Isolated Abduction Deficit.
abstract: Wegener's granulomatosis often affects the orbit, typically presenting with painful proptosis. The authors describe a 14 year-old girl, with limited Wegener's granulomatosis, who initially presented with an isolated painless abduction deficit that spontaneously resolved over several weeks. She subsequently developed painful proptosis and diplopia, followed by facial and oral nodules. This case demonstrates that limited Wegener's granulomatosis can rarely present with an isolated painless abduction deficit.
authors.affiliation: Department of Ophthalmology and Visual Sciences.
authors.forename: John J
authors.initials: JJ
authors.lastname: Chen
authors.affiliation: Department of Pediatrics.
authors.forename: Sandy
authors.initials: S
authors.lastname: Hong
authors.affiliation: Department of Ophthalmology and Visual Sciences; Department of Pathology.
authors.forename: Patricia A
authors.initials: PA
authors.lastname: Kirby
authors.affiliation: Department of Radiology.
authors.forename: Bruno A
authors.initials: BA
authors.lastname: Policeni
authors.affiliation: Department of Ophthalmology and Visual Sciences.
authors.forename: Keith D
authors.initials: KD
authors.lastname: Carter
authors.affiliation: Department of Ophthalmology and Visual Sciences; Department of Neurology, University of IowaIowa City, IowaUSA; Department of Neurology, Veterans Affairs Medical CenterIowa City, IowaUSA.
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Thurtell
keywords: Abduction deficit; diplopia; limited Wegener’s granulomatosis; proptosis; vasculitis