513 HeerfordtS Syndrom in an Adolescent Boy
| Autor: | P Is¸ık Ag˘ras, Tugba Zengin, Tülin Çatakli, Fİ Arıkan, Y Dallar Bilge, Fatma Özkan |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Physical examination medicine.disease Gallium 67 scan Facial paralysis Parotid gland Surgery medicine.anatomical_structure Pediatrics Perinatology and Child Health medicine Maculopapular rash Sarcoidosis medicine.symptom business Neck stiffness Parotitis |
| Zdroj: | Archives of Disease in Childhood. 97:A149-A149 |
| ISSN: | 1468-2044 0003-9888 |
| DOI: | 10.1136/archdischild-2012-302724.0513 |
| Popis: | Introduction Heerfordt9s Syndrome is characterized by bilateral uveitis, facial paralysis, fever and parotitis which is a rarely seen condition in sarcoidosis with neurological manifestations. Case report A fifteen year old boy admitted to our pediatric emergency service with fever, vomitting and swellings on his cheeks. Bilateral conjunctivitis, bilateral preauricular swellings, maculopapular rash on his anterior and posterior body areas and uncertain neck stiffness were detected on his physical examination. The rest of the examination was considered as in normal range. His medical history revealed an upper respiratory tract infection one week ago. Lomber puncture was performed because of patient9s neck stiffness. No cell and culture growth were detected on puncture sample. During his observation, left peripheral facial paralysis was developed and bilateral uveitis was detected while his high fever was still persisting. Whole body gallium 67 scan was performed. Focal accumulations of gallium 67 in both lacrimal glands, parotid and submandibular glands(panda sign) were seen. Because of existence of uveitis, parotitis, left peripheral facial paralysis and fever, the patient was diagnosed as Heerfordt9s Syndrome. Steroid (Prednisolone) treatment was started. The regressions of facial paralysis and parotid gland size were noticed after two weeks of the steroid therapy. Result This case report was chosen to take attention to a rare cause of parotitis. |
| Databáze: | OpenAIRE |
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