Idiopathic orbital myositis

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Idiopathic orbital myositis. This is an idiopathic inflammatory disorder of the extraocular muscles. Fully referenced neurology checklist.

Description

  • This is an idiopathic inflammatory disorder of the extraocular muscles
  • It may affect single or multiple muscles
  • It usually affects young adult females
  • The recti are more frequently affected than the oblique muscles
  • The levator palpabrae superioris is occasionally affected
  • It follows an acute, chronic or recurrent course

Classification

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Clinical features

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Differential diagnosis: inflammatory

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Differential diagnosis: infectious

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Differential diagnosis: drug-induced

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Differential diagnosis: other medical

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Differential diagnosis: neurological disorders

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Investigations

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Treatment

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Synonyms

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References

  1. Schoser BG. Ocular myositis: diagnostic assessment, differential diagnoses, and therapy of a rare muscle disease-five new cases and review. Clin Ophthalmol 2007; 1:37-42.
  2. Costa RM, Dumitrascu OM, Gordon LK. Orbital myositis: diagnosis and management. Curr Allergy Asthma Rep 2009; 9:316-323. 
  3. Fraser CL, Skalicky SE, Gurbaxani A, McCluskey P. Ocular myositis. Curr Allergy Asthma Rep 2013; 13:315-321. 
  4. McNab AA. Orbital myositis: a comprehensive review and reclassification. Ophthalmic Plast Reconstr Surg 2020; 36:109-117.
  5. Franco J, Lee NG. Granulomatosis with polyangiitis presenting as recurrent, multifocal orbital myositis. Orbit 2021; 40:529-531. 
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