J Oral Med Oral Surg
Volume 26, Number 4, 2020
|Number of page(s)||4|
|Section||Cas clinique et revue de la littérature / Up-to date review and case report|
|Published online||26 August 2020|
Up-to-Date Review And Case Report
Lockdown-related idiopathic facial paralysis: illustration of an indirect victim of the COVID-19 pandemic?
Oral Surgery resident, Department of Dental Medicine, Bretonneau Hospital, Paris, France
2 Oral Medicine and Oral Surgery, Department of Dental Medicine, Bretonneau Hospital, Paris, France & Faculty of Dental Medicine, Paris University, Montrouge, France
* Correspondence: firstname.lastname@example.org
Accepted: 8 July 2020
Introduction: In the midst of the COVID-19 pandemic, there are numerous reports of SARS-CoV-2-related symptoms in many medical subspecialties. Unfortunately, there seems to be little focus on indirect victims of COVID-19, such as diseases/ailments secondary to COVID-19-related lockdown in relevant countries. Observation: We report a case of idiopathic facial paralysis (Bell's Palsy) that occurred in an otherwise-healthy 49-year-old French chef during nationwide lockdown, possibly fostered by severe concerns regarding his professional prospects. Other manifestations of severe anxiety were also observed such as tension-type headache and psoriasis outbreaks. Prednisone and valaciclovir were initiated, in association with simple counselling. Commentary and conclusion: As HSV-1 reactivation in the facial nerve is suspected in the pathophysiology of idiopathic facial paralysis, this case could constitute an example of lockdown-related disease and an illustration of indirect manifestations of the COVID-19 pandemic. Such indirect diseases are likely to increase as the pandemic continues to take its toll both medically and socio-economically.
Key words: COVID-19 / facial paralysis / Bell's / palsy
© The authors, 2020
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Current usage metrics show cumulative count of Article Views (full-text article views including HTML views, PDF and ePub downloads, according to the available data) and Abstracts Views on Vision4Press platform.
Data correspond to usage on the plateform after 2015. The current usage metrics is available 48-96 hours after online publication and is updated daily on week days.
Initial download of the metrics may take a while.