Limited Wegener’s Granulomatosis Presenting with an Isolated Abduction Deficit

Abstract

Wegener’s granulomatosis often affects the orbit, typically presenting with painful proptosis. The authors describe a 14 year-old girl, with limited Wegener’s granulomatosis, who initially presented with an isolated painless abduction deficit that spontaneously resolved over several weeks. She subsequently developed painful proptosis and diplopia, followed by facial and oral nodules. This case demonstrates that limited Wegener’s granulomatosis can rarely present with an isolated painless abduction deficit.

• Abduction deficit
• diplopia
• limited Wegener’s granulomatosis
• proptosis
• vasculitis

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

Note: Figures 1 and 5 of this article is available in colour online at www.informahealthcare.com/oph