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Neuro-ophthalmic systemic lupus erythematosis misdiagnosed as hysterical blindness

Published Online:https://doi.org/10.1176/ajp.139.9.1194

The authors present a case of neuro-ophthalmic systemic lupus erythematosus in which an initial diagnosis of "hysteria" was made. The authors review the ophthalmic symptoms of systemic lupus erythematosus and technical aspects of the ophthalmic examination useful in differentiating organic from functional blindness.

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