Magnetic resonance imaging of acquired Brown syndrome in a patient with psoriasis

PURPOSE: To report the occurrence of acquired Brown syndrome and associated magnetic resonance imaging findings in a patient with psoriasis, METHODS: A 42-year-old woman with a history of psoriasis developed pain, do uble vision, and limited elevation of her left eye in adduction. An orbital magnetic resonance image with gadolinium enhancement was obtained. RESULTS: Orbital magnetic resonance image disclosed abnormal enhancement of the left trochlea/tendon complex. The patient's symptoms resolved with cor ticosteroid therapy. CONCLUSIONS: Acquired Brown syndrome may be associated with psoriasis, The inflammation of the trochlea/ tendon complex that can cause acquired Brown syndrome can be demonstrated on magnetic resonance image, (Am J Ophthalmol 1999;127:233-235, (C) 1999 by Elsevier Science Inc. All rights reserved.).