Holmes-Adie syndrome as an early manifestation of systemic lupus erythematosus

C Pueyo-Asensio; M Saint Gerons Trecu; M A Rubio Pérez; A Matheu Fabra

doi:10.1016/j.oftal.2020.03.012

Holmes-Adie syndrome as an early manifestation of systemic lupus erythematosus

Arch Soc Esp Oftalmol (Engl Ed). 2021 Mar;96(3):167-170. doi: 10.1016/j.oftal.2020.03.012. Epub 2020 Jul 15.

[Article in English, Spanish]

Authors

C Pueyo-Asensio¹, M Saint Gerons Trecu², M A Rubio Pérez³, A Matheu Fabra²

Affiliations

¹ Departamento de Neuroftalmología, Hospitals Universitaris de l'Esperança i del Mar, Parc de Salut Mar, Universitat Autònoma de Barcelona, Universitat Pompeu Fabra, Barcelona, España. Electronic address: carmenpueyoasensio@gmail.com.
² Departamento de Neuroftalmología, Hospitals Universitaris de l'Esperança i del Mar, Parc de Salut Mar, Universitat Autònoma de Barcelona, Universitat Pompeu Fabra, Barcelona, España.
³ Departamento de Neurología, Hospitals Universitaris de l'Esperança i del Mar, Parc de Salut Mar, Universitat Autònoma de Barcelona, Universitat Pompeu Fabra, Barcelona, España.

PMID: 32680767
DOI: 10.1016/j.oftal.2020.03.012

Abstract

Lupus is an autoimmune disease with multiple manifestations and multiorgan damage. Neuro-ophthalmic disorders are the less common ophthalmological manifestations of lupus. Adie's tonic pupil is mostly idiopathic and may rarely be caused by autoimmune disorders. The combination of abnormal pupil size and a decrease or loss of deep tendon reflexes is usually called Holmes-Adie syndrome. A case is reported of Holmes-Adie syndrome as an early manifestation of systemic lupus erythematosus.

Keywords: Adie's pupil; Holmes-Adie syndrome; Lupus eritematoso sistémico; Palsy of a cranial nerve; Parálisis de nervio craneal; Pupila tónica de Adie; Systemic lupus erythematosus; Síndrome de Holmes-Adie.

Publication types

Case Reports