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Childhood Sarcoidosis Presenting as Recurrent Facial Palsy

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Abstract

Background

Recurrent facial palsy in a patient merits investigation for underlying etiology.

Case characteristics

8-year-old boy with erythematous itchy skin lesion and recurrent facial palsy.

Observation

He had a past history of aseptic meningitis and nephrocalcinosis. Raised angiotensin converting enzyme levels, interstitial lung disease on CT chest, and non caseating granulomas on skin biopsy clinched the diagnosis of sarcoidosis.

Message

Multisystem involvement and recurrent lower motor facial nerve palsy is a clinical clue for sarcoidosis.

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References

  1. Hoffman AL, Milman N, Byg KE. Childhood sarcoidosis in Denmark 1979-1994: Incidence, clinical features and laboratory results at presentation in 48 children. Acta Paediatr. 2004;93:30–6.

    Article  Google Scholar 

  2. Gupta SK. Pediatric sarcoidosis in India. Indian J Pediatr. 2001;68:931–5.

    Article  CAS  PubMed  Google Scholar 

  3. Shetty AK, Gedalia A. Childhood sarcoidosis: A rare but fascinating disorder. Pediatr Rheumatol. 2008;6:16–25.

    Article  Google Scholar 

  4. Stern BJ, Krumholz A, Johns C, Scott P, Nissim J. Sarcoidosis and its neurological manifestation. Arch Neurol. 1985;42:909–17.

    Article  CAS  PubMed  Google Scholar 

  5. Salman MS. Facial paralysis and Bell’s palsy in children: Current diagnostic concepts and management controversies. Primary Psychiatry. 2003;10:67–70.

    Google Scholar 

  6. Ors F, Gumus S, Aydogan M, Sari S, Verim S, Deniz O. HRCT findings of pulmonary sarcoidosis; relation to pulmonary function tests. Multidiscip Respir Med. 2013;8:8.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Lynch JP 3rd, Ma YL, Koss MN, White ES. Pulmonary sarcoidosis. Semin Respir Crit Care Med. 2007;28:53–74.

    Article  PubMed  Google Scholar 

  8. Cimaz R, Ansell BM. Sarcoidosis in the pediatric age. Clin Exp Rheumatol. 2002; 20:231–7.

    CAS  PubMed  Google Scholar 

  9. Moravan M, Segal BM. Treatment of CNS sarcoidosis with infliximab and mycophenolate mofetil. Neurology. 2009; 72:337–40.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Delaney P. Neurologic manifestations in sarcoidosis: Review of the literature, with a report of 23 cases. Ann Intern Med. 1977; 87:336–45.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Gouri Rao Passi.

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Passi, G.R., Arora, K. & Gokhale, N. Childhood Sarcoidosis Presenting as Recurrent Facial Palsy. Indian Pediatr 55, 339–340 (2018). https://doi.org/10.1007/s13312-018-1259-7

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  • DOI: https://doi.org/10.1007/s13312-018-1259-7

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