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The most common form of facial paralysis is idiopathic—that is, Bell's palsy. Sjögren's syndrome (SS), a chronic inflammatory disorder characterised by lymphocytic infiltration of exocrine glands resulting in the so called “sicca complex”, is a rare secondary cause of this self limiting illness. Primary SS includes mostly peripheral, and to a lesser extent cranial, autonomic neuropathy and central nervous system involvement.1 A patient with unilateral facial palsy, autoimmune hypothyroidism, and Sjögren's syndrome is presented.
A 41 year old woman developed right sided facial numbness, described as “dentist anaesthesia for tooth extraction”. One day later she had a reduced sense of taste and right facial weakness. General physical examination was …