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Restrictive ophthalmopathy associated with linear scleroderma

W W Campbell1, F J Bajandas

  • 1Department of Neurology, Medical College of Virginia, Richmond, USA.

Journal of Neuro-Ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society
|June 1, 1995
PubMed
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A patient with a coup de sabre facial lesion experienced limited eye movement. This was likely caused by a restrictive myopathy affecting eye muscles near the skin condition.

Area of Science:

  • Ophthalmology
  • Dermatology
  • Neurology

Background:

  • Linear scleroderma, a rare autoimmune condition, can manifest with unique cutaneous presentations like the coup de sabre lesion.
  • Ocular motility disturbances are uncommon but significant complications that warrant thorough investigation.

Observation:

  • A patient presented with a coup de sabre lesion on the forehead.
  • The patient subsequently developed progressive limitation of ipsilateral ocular motility, specifically affecting adduction and depression.

Findings:

  • No alternative explanation was found for the observed ocular motility deficit.
  • The condition is suspected to be a restrictive myopathy directly involving the ocular muscles beneath the scleroderma lesion.

Implications:

Related Experiment Videos

  • This case highlights a potential, previously under-recognized association between coup de sabre lesions and restrictive myopathy.
  • Understanding this link may improve diagnosis and management of ocular complications in patients with linear scleroderma.
  • Further research is needed to elucidate the pathophysiology and prevalence of this association.