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Acquired Brown's syndrome in a patient with systemic lupus erythematosus.
  1. J L Alonso-Valdivielso,
  2. B Alvarez Lario,
  3. J Alegre López,
  4. M J Sedano Tous,
  5. A Buitrago Gómez
  1. Rheumatology Section, Hospital General Yagüe, Instituto Nacional de la Salud, Burgos, Spain.

    Abstract

    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.

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