Heerfordt syndrome with unilateral facial nerve palsy: a rare presentation of sarcoidosis.

Details

Serval ID
serval:BIB_8C8CB01F0C75
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Heerfordt syndrome with unilateral facial nerve palsy: a rare presentation of sarcoidosis.
Journal
Klinische Monatsblätter für Augenheilkunde
Author(s)
Petropoulos I.K., Zuber J.P., Guex-Crosier Y.
ISSN
0023-2165
Publication state
Published
Issued date
2008
Peer-reviewed
Oui
Volume
225
Number
5
Pages
453-6
Language
english
Abstract
BACKGROUND: Heerfordt syndrome is rare and is characterized by fever, uveitis, parotid gland enlargement, and facial nerve palsy. We hereby present a case of Heerfordt syndrome with unilateral facial nerve palsy as a presentation of sarcoidosis. HISTORY AND SIGNS: A 29-year-old male patient from Sri Lanka presented with eye redness OU, blurred vision OD, fever, headache, night sweat, fatigue, and weight loss (5 kg over 1 month). Examination revealed mild anterior uveitis OU, mild vitritis OD, fundus whitish lesions OU, left otalgia, taste disorders, bilateral parotid gland enlargement, and left facial nerve palsy. Work-up for infection or tumour was negative. Chest computed tomography and transbronchial lymph node biopsy set the diagnosis of sarcoidosis. THERAPY AND OUTCOME: The patient recovered completely within 2 months under therapy with prednisone and azathioprine. One year after onset of treatment, no recurrence was noted. CONCLUSIONS: Heerfordt syndrome is a rare manifestation of neurosarcoidosis and has to be included in the differential diagnosis of facial nerve palsy.
Keywords
Adult, Diagnosis, Differential, Facial Nerve Diseases, Facial Paralysis, Humans, Male, Rare Diseases, Uveoparotid Fever
Pubmed
Web of science
Create date
22/01/2009 15:53
Last modification date
20/08/2019 15:50
Usage data