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

Détails

ID Serval
serval:BIB_8C8CB01F0C75
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Heerfordt syndrome with unilateral facial nerve palsy: a rare presentation of sarcoidosis.
Périodique
Klinische Monatsblätter für Augenheilkunde
Auteur(s)
Petropoulos I.K., Zuber J.P., Guex-Crosier Y.
ISSN
0023-2165
Statut éditorial
Publié
Date de publication
2008
Peer-reviewed
Oui
Volume
225
Numéro
5
Pages
453-6
Langue
anglais
Résumé
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.
Mots-clé
Adult, Diagnosis, Differential, Facial Nerve Diseases, Facial Paralysis, Humans, Male, Rare Diseases, Uveoparotid Fever
Pubmed
Web of science
Création de la notice
22/01/2009 15:53
Dernière modification de la notice
03/03/2018 19:13
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