FREE FULL TEXTAnahtar Kelimeler: Antikor, bakteriyel/kan/analiz; Borreliaburgdorferi/izolasyon ve purifikasyon; fasyal paralizi/tanı/etyoloji;immünglobulin G/analiz; immünglobulin M/analiz;Lyme hastalığı/tanı/immünoloji.
Objectives: We investigated the role of Borrelia
burgdorferi in the etiology of idiopathic acute peripheral
Patients and Methods: Nineteen patients (15 females,
4 males; mean age 38 years; range 14 to 61 years)
with acute peripheral facial palsy were studied.
Following routine otolaryngologic examination, all the
patients underwent taste, Schirmer, and stapedial
reflex tests to evaluate the level of the palsy.
Laboratory examination included routine biochemistry
analysis, serum C-reactive protein, rheumatoid factor,
and erythrocyte sedimentation rate. Anti- B o r r e l i a
burgdorferi IgM and IgG antibodies were sought by
ELISA in venous blood samples.
Results: Of the patient group, acute facial palsy was
localized on the right in 12 patients (63.2%), and on the
left in seven patients (36.8%). None of the patients had
bilateral involvement. No IgM or IgG seropositivity for
Borrelia burgdorferi was detected in the serum samples.
Conclusion: In highly endemic areas, it may be helpful
to detect or even to eliminate Lyme disease through
screening of serum in patients with acute peripheral