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A Non-Permanent Tonic Pupil in Rheumatoid Arteritis

Published online by Cambridge University Press:  18 September 2015

David I. Victor ,
W. Richard Green ,
Walter J. Stark  and
Frank B. Walsh
David I. Victor
Affiliation:
Eye Pathology Laboratory, Wilmer Institute and Department of Pathology, The Johns Hopkins Medical Institutions, Baltimore, Maryland
W. Richard Green*
Affiliation:
Eye Pathology Laboratory, Wilmer Institute and Department of Pathology, The Johns Hopkins Medical Institutions, Baltimore, Maryland
Walter J. Stark
Affiliation:
Eye Pathology Laboratory, Wilmer Institute and Department of Pathology, The Johns Hopkins Medical Institutions, Baltimore, Maryland
Frank B. Walsh
Affiliation:
Eye Pathology Laboratory, Wilmer Institute and Department of Pathology, The Johns Hopkins Medical Institutions, Baltimore, Maryland
*
Eye Pathology Laboratory, The Johns Hopkins Hospital, 601 N. Broadway, BaltimoreMaryland 21205
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Summary:

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A 76-year-old male with a severely deforming rheumatoid arthritis, eosinophilic!, polymyositis, and episcleritis developed a transient tonic pupil. The episcleritis, and a muscle biopsy revealing an occlusive arteritis with eosinophilia, suggest that a widespread rheumatoid arteritis caused a reversible ischemic insult to the ciliary ganglion and thus created a transient denervation of the pupil.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 4 , Issue 3 , August 1977 , pp. 209 - 212
Copyright
Copyright © Canadian Neurological Sciences Federation 1977

References

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