Orbital Myositis with Rapid Successful Treatment with Corticosteroids
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2015, Vol 8, Issue 4
Abstract
A 41-year-old Japanese female was admitted to our hospital with a history of right abducens nerve palsy, right gaze diplopia, right eye pain and double vision. Thyroid function, thyroid autoantibody levels, and tests for other pathologies were normal. Orbital contrast-enhanced short-TI Inversion Recovery-magnetic resonance imaging before treatment showed contrast-enhanced, severe lateral rectus and rectus superior muscle swelling in the right eye. We therefore diagnosed this patient as orbital myositis. Intravenous glucocorticoid pulse therapy with methylprednisolone (mPSL) was initiated. After prescribing a daily dose of 1,000 mg of mPSL three times a week, all symptoms, including physical abnormalities, disappeared. The patient was discharged on day 14 after hospitalization and was prescribed oral PSL (30 mg/day). This report indicates that early and initial adequate treatment with a high dose of mPSL is very effective for orbital myositis treatment. However, the possibility of recurrences must be always considered at subsequent follow-up.
Authors and Affiliations
Syuichi Tetsuka, Asako Tagawa, Tomoko Ogawa, Mieko Otsuka, Ritsuo Hashimoto, Hiroyuki Kato
Keywords
Related Articles
- EP ID EP347880
- DOI 10.9734/BJMMR/2015/17738
- Views 79
- Downloads 0
Biochemical and Histopathological Studies on the Effect of Raw and Cooked Tetracarpidium conophorum on Male Albino Rats
Aim: This study is mainly aimed at investigating the study the toxic effects of raw and cooked Tetracarpidium conophorum nut taken as snacks in Nigeria. Study Design: Both biochemical and histopathological effects the ra...
Thrombolytic, Cytotoxic and Antidiabetic Effects of Paederia foetida L. Leaf Extract
Aims: This research investigated the thrombolytic, cytotoxic and antidiabetic effects of Paederia foetida leaf methanol extract. Place and Duration of Study: Department of Genetic Engineering and Biotechnology and Depar...
Harlequin Ichthyosis: Case Report of a Rare Type of Ichthyosis
Aims: The purpose of this study is to present a case of Harlequin fetus, which is extremely rare. Presentation of Case: A 27-year-old woman, gravida 3 para 1, was referred to the clinic with a diagnosis of preterm premat...
Pattern and Rate of Occupational and Non- Occupational Exposures: The Experience of a Major HIV Treatment Centre in Nigeria
Aims: This study sought to evaluate the nature of exposure, treatment outcome, time of presentation for treatment, assess adherence to follow up visits as well as identify gaps in post exposure prophylaxis treatment prac...
Increased Complement Deposition on Red Blood Cells in Children with Sickle Cell Trait
Aims: Immune-mediated mechanism, such as deposition of complement (C3b) on erythrocytes leading to enhanced receptor-mediated uptake by macrophages has been proposed to contribute partly to the destruction of non-infecte...