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He was treated with aspirin, pulsed methylprednisolone and tocilizumab followed by oral steroids. On day 16 from initial presentation, he developed a facial nerve palsy. He was managed with ongoing steroids and the addition of valaciclovir. PIMS-TS is an under-recognised condition among adult physicians and may not be well known in adult neurology. It is important for adult physicians and neurologists to be aware of PIMS-TS and its possible sequelae.<\/jats:p>","DOI":"10.1136\/bcr-2021-242887","type":"journal-article","created":{"date-parts":[[2021,6,14]],"date-time":"2021-06-14T12:40:33Z","timestamp":1623674433000},"page":"e242887","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Can PIMS-TS lead to a facial nerve palsy?"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9703-655X","authenticated-orcid":false,"given":"Lauren","family":"Hookham","sequence":"first","affiliation":[{"name":"Department of Infectious Diseases and Tropical Medicine, Guys and St Thomas Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Penelope","family":"Teoh","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Tropical Medicine, Guys and St Thomas Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William","family":"Stern","sequence":"additional","affiliation":[{"name":"Neurology, St Thomas\u2019 Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna L","family":"Goodman","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Tropical Medicine, Guys and St Thomas Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,6,14]]},"reference":[{"key":"2025082710422132000_14.6.e242887.1","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/S2352-4642(20)30304-7","article-title":"A national consensus management pathway for paediatric inflammatory multisystem syndrome temporally associated with COVID-19 (PIMS-TS): results of a national Delphi process","volume":"5","author":"Harwood","year":"2021","journal-title":"Lancet Child Adolesc Health"},{"key":"2025082710422132000_14.6.e242887.2","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1161\/CIR.0000000000000484","article-title":"Diagnosis, treatment, and long-term management of Kawasaki disease: a scientific statement for health professionals from the American heart association","volume":"135","author":"McCrindle","year":"2017","journal-title":"Circulation"},{"key":"2025082710422132000_14.6.e242887.3","first-page":"390","article-title":"International League of associations for rheumatology classification of juvenile idiopathic arthritis: second revision, Edmonton, 2001","volume":"31","author":"Petty","year":"2004","journal-title":"J Rheumatol"},{"key":"2025082710422132000_14.6.e242887.4","doi-asserted-by":"publisher","DOI":"10.1136\/rmdopen-2020-001403"},{"key":"2025082710422132000_14.6.e242887.5","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp-2014-309563"},{"key":"2025082710422132000_14.6.e242887.6","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2013-003121","article-title":"Impact of clinical trial findings on Bell's palsy management in general practice in the UK 2001-2012: interrupted time series regression analysis","volume":"3","author":"Morales","year":"2013","journal-title":"BMJ Open"},{"key":"2025082710422132000_14.6.e242887.7","unstructured":"NICE CKS . 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