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Confirmation by Serum Angiotensin-Converting Enzyme Assay

Jason P. Cohen, MD; Leigh J. Lachman, MD; Paul E. Hammerschlag, MD

Arch Otolaryngol. 1983;109(12):832-835.

Abstract
• Facial nerve paralysis is an unusual manifestation of sarcoidosis and is frequently associated with parotitis and uveitis. This triad of symptoms constitutes uveoparotid fever (Heerfordt's disease). Until recently, diagnosis was primarily clinical, aided by histologic confirmation of sarcoidosis (sarcoid of Boeck). An enzymatic assay has now been developed that seems to be specific for sarcoidosis. A case is reported herein, in which the origin of the facial paralysis was confirmed by this serum angiotensin-converting enzyme assay.

(Arch Otolaryngol 1983;109:832-835)

Author Affiliations
From the Department of Otolaryngology, New York University Medical Center.

Footnotes
Accepted for publication Oct 26, 1982.

Reprint requests to the Department of Otolaryngology, New York University Medical Center, 550 First Ave, New York, NY 10016 (Dr Hammerschlag).

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