Unusual aetiology of isolated lower motor neuron facial palsy: Systemic lupus erythematosus presenting with cranial nerve palsy and nephritis

Nayef Mohammed Kazzaz; Rasha El-Rifai

doi:10.1136/bcr-2013-200378

Unusual aetiology of isolated lower motor neuron facial palsy: Systemic lupus erythematosus presenting with cranial nerve palsy and nephritis

Nayef Mohammed Kazzaz, Rasha El-Rifai

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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.

Original language	English (US)
Article number	200378
Journal	BMJ case reports
DOIs	https://doi.org/10.1136/bcr-2013-200378
State	Published - Aug 26 2013
Externally published	Yes

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title = "Unusual aetiology of isolated lower motor neuron facial palsy: Systemic lupus erythematosus presenting with cranial nerve palsy and nephritis",

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.",

author = "Kazzaz, {Nayef Mohammed} and Rasha El-Rifai",

year = "2013",

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AU - El-Rifai, Rasha

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AB - 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.

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Unusual aetiology of isolated lower motor neuron facial palsy: Systemic lupus erythematosus presenting with cranial nerve palsy and nephritis

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