孤立性下运动神经元面神经麻痹的罕见病因：系统性红斑狼疮伴脑神经麻痹和肾炎。
Unusual aetiology of isolated lower motor neuron facial palsy: systemic lupus erythematosus presenting with cranial nerve palsy and nephritis.
作者信息
Kazzaz Nayef Mohammed, El-Rifai Rasha
机构信息
Department of Internal Medicine, University Hospitals Case Medical Center, Cleveland, Ohio, USA.
出版信息
BMJ Case Rep. 2013 Aug 26;2013:200378. doi: 10.1136/bcr-2013-200378.
Abstract
A 20-year-old woman presented with common cold symptoms was found to have a left-sided facial droop. On examination, peripheral facial nerve palsy was confirmed. Subsequent testing showed nephrotic range proteinuria and positive serologies including antinuclear antibody and anti-smith antibody. Kidney biopsy showed stage III lupus nephritis. Treatment with pulse steroids along with mycophenolate mofetil for her lupus nephritis resulted in concomitant improvement of her facial palsy.
摘要
一名出现普通感冒症状的20岁女性被发现左侧面部下垂。检查时，确诊为周围性面神经麻痹。随后的检查显示肾病范围蛋白尿以及包括抗核抗体和抗史密斯抗体在内的血清学检查呈阳性。肾活检显示为III期狼疮性肾炎。用大剂量类固醇联合霉酚酸酯治疗她的狼疮性肾炎，同时她的面神经麻痹也得到了改善。
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