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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Holmes-Adie syndrome as an early manifestation of systemic lupus erythematosus
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Vol. 96. Issue 3.
Pages 167-170 (March 2021)
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Vol. 96. Issue 3.
Pages 167-170 (March 2021)
Short communication
Holmes-Adie syndrome as an early manifestation of systemic lupus erythematosus
Síndrome de Holmes-Adie como primera manifestación de lupus eritematoso sistémico
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C. Pueyo-Asensioa,
Corresponding author
carmenpueyoasensio@gmail.com

Corresponding author.
, M. Saint Gerons Trecua, M.A. Rubio Pérezb, A. Matheu Fabraa
a Departamento de Neuroftalmología, Hospitals Universitaris de l’Esperança i del Mar, Parc de Salut Mar, Universitat Autònoma de Barcelona, Universitat Pompeu Fabra, Barcelona, Spain
b Departamento de Neurología, Hospitals Universitaris de l’Esperança i del Mar, Parc de Salut Mar, Universitat Autònoma de Barcelona, Universitat Pompeu Fabra, Barcelona, Spain
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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:
Systemic lupus erythematosus
Palsy of a cranial nerve
Adie’s pupil
Holmes-Adie syndrome
Resumen

El lupus es una enfermedad autoinmune que afecta a múltiples órganos, con diversas manifestaciones, siendo las neuroftalmológicas poco frecuentes en esta entidad. El origen de la pupila tónica de Adie es principalmente idiopático y la causa inmune es excepcional. Cuando esta se asocia con alteración de los reflejos osteotendinosos se describe como síndrome de Holmes-Adie. Presentamos un caso de síndrome de Holmes-Adie como posible primera manifestación de lupus eritematoso sistémico.

Palabras clave:
Lupus eritematoso sistémico
Parálisis de nervio craneal
Pupila tónica de Adie
Síndrome de Holmes-Adie

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