Mechanism of haematuria in lupus nephritis.

or acquired. Acquired Brown's syndrome has been described in collagen vascular diseases including rheumatoid arthritis and Still's disease.' 2 Two case reports have described Brown's syndrome in systemic lupus erythematosus (SLE) in adults,' 4 but no cases of Brown's syndrome in a juvenile with SLE haxe been reported to date. A 14 year old girl was referred to the ophthalmic department w-ith a two day history of diplopia and arthralgia of her hands. She had a three vear historv of SLE that had been complicated by rashes, arthritis, cerebral vasculitis (two years previously), and was recently under investigation for haematuria. She had been receiving prednisolone in variable doses since the diagnosis

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