Idiopathic Orbital Myositis

Slavin, Michael L.; Glaser, Joel S.

doi:10.1001/archopht.1982.01030040239005

Cited by 87 publications

(33 citation statements)

References 16 publications

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“…The most common causes of orbital myositis are: endocrine diseases (in particular Grave's disease) 1 , orbital tumors, connective tissue disorders, infections [2][3][4] , vaccine 5 , cystic lesions 6 , rippling muscle disease 7 and Brown's syndrome, which is characterized by paralysis of the superior oblique muscle, always in an unilateral way but very frequently relapsing. In the past almost every inflammatory process of orbit was classified as a pseudotumor but this term has not been more used so frequently [8][9][10][11][12] . We reviewed 156 cases published in the last 25 years.…”

supporting

confidence: 42%

“…Most of the cases of orbital myositis do not have their etiology established 12,27 . Two cases (1.28%) were related to systemic lupus erythematosus 28,29 , one (0.64%) was related to giant cell myocarditis 14 , and another one to Crohn disease 8 suggesting a possible underlying immunologic mechanism 30 .…”

Section: Fig 2 Normal Mri (Second Episode)mentioning

confidence: 45%

“…Orbital myositis clinical presentation includes proptosis, conjunctival injection, restriction of eye movements, painful diplopia, periorbital pain, blepharoptosis, orbital hemorrhage, eyelid echymosis and strabismus 12,16,17 . The association progressive external ophthalmoplegia and myositis is very rare 18 .…”

mentioning

confidence: 43%

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Orbital myositis and rheumatoid arthritis: case report

Panfilio

Hernández-Cossio

Fustes

2000

Arq. Neuro-Psiquiatr.

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-Orbital myositis implies orbital inflammation confined to one or more of the extraocular muscles. The acute form responds well to high doses of oral corticosteroids tapered gradually, but it may recur or become chronic. We describe a 38 years old female who has been suffering from rheumatoid arthritis for six years. She developed diplopia as a result of a paralysis of the right and left rectus medialis muscle. MRI showed inflammatory process and thickness of the referred muscles. The patient had a total recovery with oral use of 80 mg methylpredinisolone daily. Two months after the first episode she developed a bilateral ophthalmoplegy. The patient improved with oral use of steroids the second time, but a paresis of the left rectus lateralis muscle remained. From the 156 cases we reviewed only three have been related to rheumatic diseases and none has been previously related to rheumatoid arthritis.KEY WORDS: orbital myositis, ophthalmoplegy, rheumatoid arthritis.Miosite orbitária e artrite reumatóide: relato de caso RESUMO -Miosite orbitaria é a inflamação de um ou mais músculos extraoculares. A forma aguda responde ao tratamento com doses altas de esteróides, porém pode-se tornar recorrente ou crônica. Relatamos uma paciente de 38 anos de idade, portadora de artrite reumatoide há 6 anos, que apresentou diplopia e cefaléia de um mês de evolução. A ressonância magnética (RM) de órbitas mostrou processo inflamatório e espessamento dos músculos reto mediais. A paciente apresentou recuperação completa após o uso de 80 mg/dia de metilprednisolona. Dois meses depois, ela apresentou oftalmoplegia bilateral que acometia toda a musculatura ocular extrínseca. Desta vez, a RM foi normal. A paciente melhorou com nova série do esteroide, porém permaneceu com paresia do músculo reto lateral esquerdo como sequela. Revisamos 153 casos de miosite orbitaria publicados; apenas três estavam relacionados com doenças reumatológicas e nenhum deles com artrite reumatóide. PALAVRAS-CHAVES: miosite orbitária, artrite reumatoide,oftalmoplegia.

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confidence: 42%

Section: Fig 2 Normal Mri (Second Episode)mentioning

confidence: 45%

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Orbital myositis and rheumatoid arthritis: case report

Panfilio

Hernández-Cossio

Fustes

2000

Arq. Neuro-Psiquiatr.

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“…Orbital myositis, an acute or chronic nonspecific inflammation of the extraocular muscle (11,12), is one cause of orbital pseudotumour and must be distinguished from infectious cellulitis, cavernous sinus thrombosis, arteriovenous malformation, neoplasm or myasthenia gravis. Although orbital myositis is often idiopathic, it has been associated with scleroderma, SLE, Lyme disease and Crohn's disease, and has also been observed after upper respiratory tract infections (13)(14)(15)(16).…”

Section: Discussionmentioning

confidence: 44%

Keeping an Eye on Crohn’s Disease: Orbital Myositis as the Presenting Symptom

Durno¹,

Ehrlich²,

Taylor³

et al. 1997

Canadian Journal of Gastroenterology

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Episodic periorbital swelling due to presumed orbital inflammation and myositis caused intermittent apparent proptosis and was the presenting symptom of ileocecal Crohn's disease (CD) in a teenage female with a family history of autoimmune disorders and CD. Orbital myositis, a very rare extraintestinal manifestation of inflammatory bowel disease (IBD), likely represents a process of impaired immunoregulation related to the underlying intestinal inflammation. This rare manifestation of IBD simulates the more commonly encountered thyroid orbitopathy (ophthalmopathy), but IBD should be considered if all thyroid tests are negative. It is important to recognize that orbital myositis may be an extraintestinal manifestation of Crohn's disease so that the diagnosis can be made and appropriate therapy commenced.

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“…16 Corticosteroids are the mainstay of initial treatment; daily doses of prednisone 60-100 mg in two or three weeks followed by slow tapering is recommended. 4,[17][18][19] Management of orbital pseudotumors with corticosteroids resulted in moderate responses, and high recurrence rates were found. 20,21 Radiotherapy has a well defined role in cases of failure, recurrences, persistent disease or medical contraindications to steroids.…”

Section: Discussionmentioning

confidence: 46%