KMID : 0390320100200020099
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Chungbuk Medical Journal 2010 Volume.20 No. 2 p.99 ~ p.102
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Bell¡¯s Palsy as a Presenting Feature of Polycythemia Rubra Vera
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Kang Jin-Hwi
Shin Dong-Ick Lee Hyung-Suk Shin Jae-Won Kim Ji-Seon Lee Sung-Hyun Lee Sang-Soo
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Abstract
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Polycythemia refers hematologic disorder with increased hemoglobin, hematocrit and red cell count. There is a high incidence of peripheral neuropathy in polycythemia rubra vera which is probably secondary to ischemia due to increased blood viscosity and platelet dysfunction. Bell¡¯s palsy accounts for almost three quarters of all acute facial palsies. Bell¡¯s palsy is peripheral lower motor neuron palsy, which manifests as the unilateral facial weakness. As previously known, the main cause of Bell¡¯s palsy is thought be reactivation of latent herpes viruses. We report a case of Bell¡¯s palsy as the presenting feature of polycythemia rubra vera. This report implies Bell¡¯s palsy can occur as not only inflammatory neuropathy due to viral infection but also ischemic neuropathy.
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KEYWORD
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Bell¡¯s palsy, Polycythemia rubra vera, Ischemic neuropathy, Facial nerve
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