TY - JOUR
T1 - Facial Paralysis as a Presenting Symptom of Leukemia
AU - Bilavsky, Efraim
AU - Scheuerman, Oded
AU - Marcus, Nofar
AU - Hoffer, Vered
AU - Garty, Ben Zion
PY - 2006/6
Y1 - 2006/6
N2 - Facial paralysis may occur as a complication of central nervous system leukemias in children, but it is rarely a presenting symptom. This report describes an 8-month-old child who presented with peripheral facial palsy, failure to thrive, anemia, and otitis media. Antibiotic and steroid treatment led to an improvement in the clinical condition, but not the paralysis. At readmission 3 weeks later, physical examination revealed bluish, firm, palpable masses on the scalp and facial areas, and laboratory and imaging studies confirmed the diagnosis of acute myeloid leukemia. This case should alert physicians to consider hematologic malignancies in children with facial paralysis.
AB - Facial paralysis may occur as a complication of central nervous system leukemias in children, but it is rarely a presenting symptom. This report describes an 8-month-old child who presented with peripheral facial palsy, failure to thrive, anemia, and otitis media. Antibiotic and steroid treatment led to an improvement in the clinical condition, but not the paralysis. At readmission 3 weeks later, physical examination revealed bluish, firm, palpable masses on the scalp and facial areas, and laboratory and imaging studies confirmed the diagnosis of acute myeloid leukemia. This case should alert physicians to consider hematologic malignancies in children with facial paralysis.
UR - http://www.scopus.com/inward/record.url?scp=33744789388&partnerID=8YFLogxK
U2 - 10.1016/j.pediatrneurol.2005.11.008
DO - 10.1016/j.pediatrneurol.2005.11.008
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C2 - 16765834
AN - SCOPUS:33744789388
SN - 0887-8994
VL - 34
SP - 502
EP - 504
JO - Pediatric Neurology
JF - Pediatric Neurology
IS - 6
ER -
