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Acquired Brown''s syndrome in a patient with systemic lupus erythematosus.
Authors:J L Alonso-Valdivielso   B Alvarez Lario   J Alegre López   M J Sedano Tous     A Buitrago Gómez
Affiliation: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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