Bell麻痺およびHunt症候群におけるウイルス感染の実態と臨床像
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概要
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Sixty-seven cases diagnosed as Bell's palsy and 17 patients with Ramsay-Hunt's syndrome were studied serologically with respect to seven viruses: varicella-zoster, herpes simplex, influenza A and B, mumps, adeno, and rubella.Viral infection was judged present when the antibody titer difference between the acute- and convalescent-phase specimens was four times or more.Of the 67 cases of Bell's palsy, 14 cases (20.8%) had serological findings indicating viral infection. Seven of the patients showed a significant rise in V-Z antibody titers, and three cases in H-S. For the Ramsay-Hunt's syndrome group, 15 cases showed significant increase in the titer of antibody to V-Z virus.On the basis of clinical findings it was considered that the Bell's palsy group with viral infection was characteristically ranked between the Ramsay-Hunt's syndrome group and the Bell's palsy group without viral infection.
- 耳鼻咽喉科臨床学会の論文
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