Superior oblique tendon (Brown’s) syndrome as the presenting finding in childhood onset HLA-B27-related enthesitis and juvenile idiopathic oligoarticular arthritis

  • C. Pham Case Western Reserve University, Cleveland, OH, United States.
  • V. Utz Cole Eye Institute, Cleveland Clinic, Cleveland, OH, United States.
  • A. Marcotty Cole Eye Institute, Cleveland Clinic, Cleveland, OH, United States.
  • A. Zeft | zefta@ccf.org Division of Rheumatology, Pediatric Institute, Cleveland Clinic, Cleveland, OH, United States.
  • P. Rychwalski Cole Eye Institute, Cleveland Clinic, Cleveland, OH, United States.

Abstract

We report two patients who presented with Brown’s syndrome. The first is a 7-year-old boy who at the time of his diagnosis was also found to have enthesitis and HLA-B27 positivity. The second patient was diagnosed with bilateral Brown’s syndrome at 13 months of age. At age 7 she developed a persistent oligoarticular arthritis and unilateral anterior iritis consistent with the oligoarticular Juvenile Idiopatic Arthritis (JIA) phenotype. These cases highlight ophthalmologic findings and diagnostic considerations with respect to Brown’s syndrome and associated childhood onset rheumatologic disease.

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Published
2014-11-06
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Issue
Section
Case Reports
Keywords:
Brown’s syndrome, Spondyloarthropathy, HLA-B27, Enthesitis, Juvenile arthritis.
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How to Cite
Pham, C., Utz, V., Marcotty, A., Zeft, A., & Rychwalski, P. (2014). Superior oblique tendon (Brown’s) syndrome as the presenting finding in childhood onset HLA-B27-related enthesitis and juvenile idiopathic oligoarticular arthritis. Reumatismo, 66(3), 240-244. https://doi.org/10.4081/reumatismo.2014.750