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Childhood Sarcoidosis Presenting as Recurrent Facial Palsy
Gouri Rao Passi1, Kriti Arora2, Narendra Gokhale3
1Department of Pediatrics, Choithram Hospital Research Center, Indore, Madhya Pradesh, India. Correspondence to: Dr Gouri Rao Passi, 139, Indrapuri Colony, Indore, Madhya Pradesh, India. gouripassi@hotmail.com.
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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