Korean J Med.
2017 Apr;92(2):219-223. 10.3904/kjm.2017.92.2.219.
Primary Antiphospholipid Syndrome Presenting as Bell Palsy without Cerebral Arterial Thrombosis
- Affiliations
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- 1Department of Internal Medicine, Gangneung Asan Hospital, Gangneung, Korea.
- 2Department of Internal Medicine, Soonchunhyang University College of Medicine, Seoul, Korea. healthyra@schmc.ac.kr
- KMID: 2382667
- DOI: http://doi.org/10.3904/kjm.2017.92.2.219
Abstract
- Antiphospholipid syndrome (APS) is an autoimmune disorder characterized by the presence of antiphospholipid antibodies with vascular thrombosis or increasing pregnancy-related morbidity. The risk of thrombotic events, including cerebral arterial thrombosis, is increased in patients who test positive for lupus anticoagulants. The presentation of neurologic symptoms without a cerebral thromboembolic event is rarely reported in APS. Here, we report a case of primary APS presenting as Bell palsy without cerebral arterial thrombosis. After administration of an anti-viral agent and high-dose steroid therapy, the patient successfully recovered without neurologic complications.
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