Purpose: To describe a rare case of acquired Brown syndrome (ABS) associated with acute rheumatic fever (ARF).
Case Report: a healthy 9-year-old girl developed polyarthritis, carditis, and elevated inflammatory markers 10 days after suffering from a sore throat. She was diagnosed with ARF and was treated with systemic antibiotics and high-dose non-steroidal anti-inflammatory drug (NSAID).
Brown syndrome is characterized by limited elevation of the eye in an adducted position, most often secondary to mechanical restriction of the superior oblique tendon/trochlea complex. It can be constant or intermittent/recurrent. We report on a 5 years-old boy who complained of seeing dark curtain and had strange head movements.
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