title: [Case of Heerfordt's syndrome with prolonged peripheral nerve involvement].
abstract: A 28-year-old man complaining of myiodesopsia was given a diagnosis of uveitis. Subsequently he complained facial nerve palsy and enlargement of parotid gland. Heerfordt's syndrome was diagnosed based on the results of several examinations. Facial nerve palsy, enlargement of the parotid gland and uveitis were improved by systemic corticosteroid therapy. At present he is receiving systemic corticosteroid therapy, but numbness in the mouth, thought to be the involvement of the trigeminal nerve, remains. Systemic corticosteroid therapy is usually effective for most cases with Heerford's syndrome. On the other hand, there are some cases with the prolonged peripheral nerve involvement despite systemic corticosteroid therapy, as seen in this case. If peripheral nerve involvement is prolonged, it is necessary to consider small-fibre neuropathy as one possible cause.
authors.affiliation: Department of Respiratory Medicine, Juntendo University School of Medicine.
authors.forename: Toshiji
authors.initials: T
authors.lastname: Ishiwata
authors.forename: Ryo
authors.initials: R
authors.lastname: Koyama
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Homma
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Fujii
authors.forename: Naoko
authors.initials: N
authors.lastname: Iwakami
authors.forename: Yuta
authors.initials: Y
authors.lastname: Nakao
authors.forename: Shin-ichiro
authors.initials: S
authors.lastname: Iwakami
authors.forename: Kazuhisa
authors.initials: K
authors.lastname: Takahashi
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005938:Glucocorticoids / Q000008:administration & dosage; D006801:Humans; D008297:Male; D011239:Prednisolone / Q000008:administration & dosage; D020433:Trigeminal Nerve Diseases / Q000209:etiology*; D014608:Uveoparotid Fever / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology*
chemical_list: D005938:Glucocorticoids; D011239:Prednisolone