Hong Kong Med J 2000;6:224-6 | Number 2, June 2000
Facial nerve palsy and Kawasaki disease
LKH Poon, KS Lun, YM Ng
Department of Paediatrics, Queen Elizabeth Hospital, 30 Gascoigne Road, Kowloon, Hong Kong
We report on a case of facial nerve palsy associated with Kawasaki disease in a 2-year-old boy. Facial nerve palsy is one of the rare neurological manifestations of Kawasaki disease. Twenty-seven other cases that have been reported in the literature are reviewed. There is a high incidence of coronary artery aneurysm (52%) and a female predilection in patients with Kawasaki disease. The facial palsy associated with the disease is self-limiting. Recovery is spontaneous in surviving patients, although the use of intravenous immunoglobulin may be able to hasten the recovery.
Key words: Facial nerve diseases; Facial paralysis; Immunoglobulins, intravenous/therapeutic use; Mucocutaneous lymph node syndrome/complications
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