A CASE REPORT: FACIAL PARALYSIS AS THE PRESENTING MANIFESTATION OF ACUTE LYMPHOBLASTIC LEUKEMIA

Öz

Although facial paralysis is encountered as a complication of leukemias in children, it is very seldom to be seen as only and diagnostic symptom. We report herein, a 16-month- old female, who was previously diagnosed as an idiopathic facial palsy and treated with steroid, is found out to be suffering from acute lymphoblastic leukemia that was a real etiological factor of the facial palsy afterwards. This case accentuates the importance of primary investigation and also the consideration of hematologic malignancies in children with facial
paralysis.

Anahtar Kelimeler

• Acute lymphoblastic leukemia
• facial paralysis

OLGU SUNUMU: AKUT LENFOBLASTİK LÖSEMİNİN BAŞVURU BULGUSU OLARAK FASİAL PARALİZİ

Öz

Fasial paralizi çocuklardaki lösemilerinin bir komplikasyonu olarak karşılaşılmasına rağmen lösemilerde ilk ve tanı koydurucu semptom olarak görülmesi çok nadirdir. Burada daha önce idiyopatik fasial paralizi tanısı ile steroid tedavisi verilen fakat sonradan etiyolojik faktörün akut lenfoblastik lösemi olduğu anlaşılan 16 aylık bir kız çocuk rapor edildi. Bu olgu fasial paralizili çocuklarda hematolojik malignensilerin de düşünülmesi ve primer araştırılmasının önemini vurgulamaktadır.Fasial paralizi çoğunlukla prognozu iyi olan ve “Bell’s palsi” olarak da bilinen selim bir durumdur. Lyme hastalığı, akut otitis media ve lösemi gibi pek çok etiyolojik ajan bildirilmesine rağmen vakaların çoğu hala idiyopatiktir (1). Lösemili çocuklarda santral sinir sistemi tutulumunun bir göstergesi olabilir.

Anahtar Kelimeler

• Akut lenfoblastik lösemi
• facial
• paralysis

Kaynakça

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