Pseudo oculomotor palsy as the presenting sign of linear scleroderma

Area of Science:

• Ophthalmology
• Dermatology
• Neurology

Background:

• Linear scleroderma is a connective tissue disorder characterized by localized skin hardening.
• Pseudo oculomotor palsy can arise from various neurological and systemic conditions.
• Pupillary abnormalities are crucial diagnostic indicators in neurological assessments.

Observation:

• A patient presented with symptoms mimicking oculomotor palsy.
• Facial skin abnormalities were noted, suggesting an underlying dermatological cause.
• The patient exhibited mydriasis (pupil dilation) without ocular atrophy.

Findings:

• This case highlights a novel association between linear scleroderma and mydriasis.
• The skin manifestations were key to diagnosing the underlying etiology.
• The absence of atrophy in the observed mydriasis is a previously unreported finding.

Implications:

• Clinicians should consider dermatological examination in cases of unexplained unilateral pupillary disturbances.
• This finding expands the spectrum of neurological complications associated with linear scleroderma.
• Early recognition of skin findings can lead to timely diagnosis and management of associated neurological issues.