A Case of Orbital Myositis Secondary to Systemic Lupus Erythematosus.
- Author:
Kyong Ah YUN
1
;
Joong Gon KIM
Author Information
1. Department of Pediatrics, Seoul National University Children's Hospital, Seoul National University College of Medicine, Seoul, Korea. jgkim@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Orbital myositis;
Ophthalmoplegia;
Systemic lupus erythematosus;
Diplopia
- MeSH:
Adolescent;
Autoimmune Diseases;
Brain;
Cerebral Infarction;
Constriction, Pathologic;
Diplopia;
Emergency Service, Hospital;
Facial Nerve;
Female;
Headache;
Humans;
Lupus Erythematosus, Systemic*;
Magnetic Resonance Imaging;
Neurologic Examination;
Ophthalmoplegia;
Orbit*;
Orbital Myositis*;
Paralysis;
Prednisolone
- From:The Journal of the Korean Rheumatism Association
2006;13(2):171-176
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 17-year-old girl with 12-year history of systemic lupus erythematosus (SLE) was presented with one month history of diplopia and headache. She had experienced acute cerebral infarction due to multiple cerebral arterial stenosis one year before, and fully recovered except right-side central facial nerve palsy. When she visited pediatric emergency room, ophthalmologic examination showed ophthalmoplegia of the left eye ball; limitation of medial gaze, supra-adduction and infra-adduction. Neurologic examination didn't show any newly developed neurologic defect. There was no newly developed intra-cranial lesion on the brain MRI. But, the brain MRI revealed irregularly enhanced thickened left medial rectus muscle, and that was compatible with orbital myositis. There was no definite evidence of infection or other autoimmune disease. Her condition responded to high dose intravenous methylprednisone therapy (1 g/day for 3 days) and continued oral prednisolone.
