Journal article
Heerfordt syndrome with unilateral facial nerve palsy: a rare presentation of sarcoidosis.
- Petropoulos IK Jules Gonin Eye Hospital, University of Lausanne, Lausanne, Switzerland.
- Zuber JP
- Guex-Crosier Y
- 2008-05-06
Published in:
- Klinische Monatsblatter fur Augenheilkunde. - 2008
Adult
Diagnosis, Differential
Facial Nerve Diseases
Facial Paralysis
Humans
Male
Rare Diseases
Uveoparotid Fever
English
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.
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.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1055/s-2008-1027356
- PMID 18454397
- Persistent URL
- https://sonar.ch/global/documents/105799
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