Progressive Bilateral Facial Palsy as a Manifestation of Granulomatosis With Polyangiitis: A Case Report
Annals of Rehabilitation Medicine
;
: 734-740, 2016.
Artículo
en Inglés
| WPRIM
| ID: wpr-48619
ABSTRACT
Bilateral facial palsy, which is usually combined with other diseases, occurs infrequently. It may imply a life-threatening condition. Therefore, the differential diagnosis of bilateral facial palsy is important. However, the etiology is variable, which makes diagnosis challenging. We report a rare case of progressive bilateral facial palsy as a manifestation of granulomatosis with polyangiitis (GPA). A 40-year-old male with otitis media and right facial palsy was referred for electroneurography (ENoG), which showed a 7.7% ENoG. Left facial palsy occurred after 2 weeks, and multiple cavitary opacities were noted on chest images. GPA was diagnosed by lung biopsy. His symptoms deteriorated and mononeuropathy multiplex developed. The possibility of systemic disease, such as GPA, should be considered in patients presenting with bilateral facial palsy, the differential diagnosis of which is summarized in this report.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Otitis Media
/
Tórax
/
Biopsia
/
Granulomatosis con Poliangitis
/
Mononeuropatías
/
Diagnóstico
/
Diagnóstico Diferencial
/
Enfermedades del Nervio Facial
/
Parálisis Facial
/
Pulmón
Tipo de estudio:
Estudio diagnóstico
Límite:
Adulto
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Annals of Rehabilitation Medicine
Año:
2016
Tipo del documento:
Artículo
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