Naukowcy zalecają ostrożność w przepisywaniu kortykosteroidów u pacjentów z paraliżem twarzy w Boreliozie.
"While further study is needed to determine the effect of corticosteroids in the setting of acute Lyme disease-associated facial paralysis, this retrospective study demonstrated a clear association between their use and worse long-term facial outcomes", said lead author Nate Jowett, M.D., FRCSC, a facial plastic and reconstructive surgeon at Massachusetts Eye and Ear and an Instructor in Otolaryngology at Harvard Medical School. "Since corticosteroids are part of the standard of care for acute viral facial paralysis, it is not surprising that they were initially prescribed to roughly two-thirds of the patients with Lyme disease-associated facial paralysis in this study. Our findings underline the importance of differentiating patients with facial weakness due to Lyme disease—for whom the standard of care is prompt antibiotic therapy—from those with acute viral facial paralysis, such as Bell's palsy or varicella-zoster virus—for whom the standard of care includes early treatment with corticosteroids and antivirals."
http://medicalxpress.com/news/2016-09-steroid-linked-worse-outcomes-lyme.html
"While further study is needed to determine the effect of corticosteroids in the setting of acute Lyme disease-associated facial paralysis, this retrospective study demonstrated a clear association between their use and worse long-term facial outcomes", said lead author Nate Jowett, M.D., FRCSC, a facial plastic and reconstructive surgeon at Massachusetts Eye and Ear and an Instructor in Otolaryngology at Harvard Medical School. "Since corticosteroids are part of the standard of care for acute viral facial paralysis, it is not surprising that they were initially prescribed to roughly two-thirds of the patients with Lyme disease-associated facial paralysis in this study. Our findings underline the importance of differentiating patients with facial weakness due to Lyme disease—for whom the standard of care is prompt antibiotic therapy—from those with acute viral facial paralysis, such as Bell's palsy or varicella-zoster virus—for whom the standard of care includes early treatment with corticosteroids and antivirals."
http://medicalxpress.com/news/2016-09-steroid-linked-worse-outcomes-lyme.html
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