Heerfordt’s Syndrome Presenting with Recurrent Facial Nerve Palsy Case report and 10-year literature review
Journal Title: Sultan Qaboos University Medical Journal - Year 2015, Vol 15, Issue 1
Abstract
Heerfordt’s syndrome is defned as a combination of facial palsy, parotid swelling, uveitis and fever in sarcoidosis cases. Heerfordt’s syndrome as a cause of facial palsy is very rare. We report a case of alternating facial nerve palsy in a 52-year-old female initially treated for Bell’s palsy. Te patient was referred to the All India Institute of Medical Sciences, Bhubaneswar, India, in January 2013 for clinical evaluation. She was found to have a parotid swelling and anterior intermediate uveitis. A pathoradiological evaluation suggested sarcoidosis and a fnal diagnosis of Heerfordt’s syndrome was made. Steroid treatment was initiated which led to an improvement in the facial palsy and uveitis as well as the disappearance of the parotid swelling with a corresponding decrease in angiotensin-converting enzyme levels. An English literature review was carried out to analyse the varied presentation of this syndrome. Te analysis focused on presenting symptoms, biochemical markers and radiological fndings of Heerfordt’s syndrome cases.
Authors and Affiliations
Preetam Chappity| Department of Otorhinolaryngology & Head & Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, India, Rajeev Kumar| Department of Otorhinolaryngology & Head & Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, India, Anjan K. Sahoo| Department of Otorhinolaryngology & Head & Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, India
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