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    A Case of Type 2 Diabetes Mellitus in Adolescent Presenting with Bell’s Palsy

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    https://www.riss.kr/link?id=A101575238

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    다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

    Bell’s palsy is manifested by unilateral facial paralysis, but its cause is not clearly elucidated yet. Though the relationship between Bell’s palsy and diabetes mellitus (DM) has been well established in adults, the relationship is not obvious in children and adolescents. Here, we report a case of adolescent Bell’s palsy accompanied by DM. In this case, steroids were used for the treatment of Bell’s palsy, and the blood glucose level in the patients was well controlled by metformin alone without additional use of insulin. We suggest that the presence of diabetes should be determined by blood test in the childhood and adolescent patients with facial paralysis, especially who are obese.
    As the use of steroids, however, is associated with the elevated blood glucose levels, it should be used with caution.
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    Bell’s palsy is manifested by unilateral facial paralysis, but its cause is not clearly elucidated yet. Though the relationship between Bell’s palsy and diabetes mellitus (DM) has been well established in adults, the relationship is not obvious in...

    Bell’s palsy is manifested by unilateral facial paralysis, but its cause is not clearly elucidated yet. Though the relationship between Bell’s palsy and diabetes mellitus (DM) has been well established in adults, the relationship is not obvious in children and adolescents. Here, we report a case of adolescent Bell’s palsy accompanied by DM. In this case, steroids were used for the treatment of Bell’s palsy, and the blood glucose level in the patients was well controlled by metformin alone without additional use of insulin. We suggest that the presence of diabetes should be determined by blood test in the childhood and adolescent patients with facial paralysis, especially who are obese.
    As the use of steroids, however, is associated with the elevated blood glucose levels, it should be used with caution.

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    참고문헌 (Reference)

    1 Adour KK, "The true nature of Bell's palsy: analysis of 1,000 consecutive patients" 88 : 787-801, 1978

    2 Berg T, "The effect of prednisolone on sequelae in Bell's palsy" 138 : 445-449, 2012

    3 Smith AG, "The diagnostic yield of a standardized approach to idiopathic sensory-predominant neuropathy" 164 : 1021-1025, 2004

    4 Kanazawa A, "Prognosis for Bell's palsy: a comparison of diabetic and nondiabetic patients" 127 : 888-891, 2007

    5 Adour K, "Prevalence of concurrent diabetes mellitus and idiopathic facial paralysis (Bell's palsy)" 24 : 449-451, 1975

    6 Kiziltan ME, "Peripheral neuropathy in patients with diabetes mellitus presenting as Bell's palsy" 427 : 138-141, 2007

    7 Katusic SK, "Incidence, clinical features, and prognosis in Bell's palsy, Rochester, Minnesota, 1968-1982" 20 : 622-627, 1986

    8 Smith AG, "Impaired glucose tolerance and neuropathy" 14 : 23-29, 2008

    9 Sartoretti-Schefer S, "Idiopathic, herpetic, and HIV-associated facial nerve palsies: abnormal MR enhancement patterns" 15 : 479-485, 1994

    10 Saito O, "Diagnosis and treatment for Bell's palsy associated with diabetes mellitus" 511 : 153-155, 1994

    1 Adour KK, "The true nature of Bell's palsy: analysis of 1,000 consecutive patients" 88 : 787-801, 1978

    2 Berg T, "The effect of prednisolone on sequelae in Bell's palsy" 138 : 445-449, 2012

    3 Smith AG, "The diagnostic yield of a standardized approach to idiopathic sensory-predominant neuropathy" 164 : 1021-1025, 2004

    4 Kanazawa A, "Prognosis for Bell's palsy: a comparison of diabetic and nondiabetic patients" 127 : 888-891, 2007

    5 Adour K, "Prevalence of concurrent diabetes mellitus and idiopathic facial paralysis (Bell's palsy)" 24 : 449-451, 1975

    6 Kiziltan ME, "Peripheral neuropathy in patients with diabetes mellitus presenting as Bell's palsy" 427 : 138-141, 2007

    7 Katusic SK, "Incidence, clinical features, and prognosis in Bell's palsy, Rochester, Minnesota, 1968-1982" 20 : 622-627, 1986

    8 Smith AG, "Impaired glucose tolerance and neuropathy" 14 : 23-29, 2008

    9 Sartoretti-Schefer S, "Idiopathic, herpetic, and HIV-associated facial nerve palsies: abnormal MR enhancement patterns" 15 : 479-485, 1994

    10 Saito O, "Diagnosis and treatment for Bell's palsy associated with diabetes mellitus" 511 : 153-155, 1994

    11 Stjernquist-Desatnik A, "Detection of herpes simplex and varicella-zoster viruses in patients with Bell's palsy by the polymerase chain reaction technique" 115 : 306-311, 2006

    12 Gilden DH, "Clinical practice. Bell's Palsy" 351 : 1323-1331, 2004

    13 Tiemstra JD, "Bell's palsy: diagnosis and management" 76 : 997-1002, 2007

    14 Bosco D, "Bell's palsy: a manifestation of prediabetes?" 123 : 68-72, 2011

    15 Linder T, "Bell's palsy and Herpes simplex virus: fact or mystery?" 26 : 109-113, 2005

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