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To the Editor.
—I very much appreciated the article titled "Acquired Brown's Syndrome of Inflammatory Origin" by John S. Hermann, MD (Archives 96:1228-1232, 1978). I have observed one case of acquired Brown's sheath syndrome, presumably of inflammatory origin. This patient was a 30-year-old woman with mild rheumatoid arthritis who experienced two separate episodes of acquired Brown's sheath syndrome occurring nearly a year apart and promptly responded to a peritrochlear injection of 0.5 mL of betamethasone (Celestone). The most recent episode required two injections one week apart to provide complete resolution of all her symptoms, which included pain and tenderness in the trochlear area as well as the classic limitation in motility.I hope your readers will find this to be of interest in what seems to be verification of the entity of tenosynovitis in an acquired Brown's tendon sheath syndrome.
Beisner DH. Acquired Brown's Syndrome of Inflammatory Origin. Arch Ophthalmol. 1979;97(1):173. doi:10.1001/archopht.1979.01020010095025