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Previous Volume 328:1571 May 27, 1993 Number 21 Next

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To the Editor: In Images in Clinical Medicine, Klempner and Molloy (Dec. 17 issue)¹ showed a young man with Lyme disease who had erythema chronicum migrans and "Bell's palsy." The term "Bell's palsy," from the Scottish anatomist and surgeon,² is reserved for an idiopathic lower-motor-nerve lesion ("peripheral") of the seventh cranial nerve³. Lower-motor-nerve facial palsies are a common manifestation of Lyme disease, with a presumed pathophysiology intimately related to the infection itself; therefore, the use of "Bell's palsy" in this setting is incorrect. Rather, this manifestation should merely be referred to as a lower-motor facial paresis associated with Lyme . . . [Full Text of this Article]

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