Facial palsy and neuropathy point to a serious syndrome

A patient's symptoms flag a serious diagnosis to his GP, whose advocacy leads to appropriate diagnosis and management

Jack is a 23-year-old retail worker who presents to his GP with five days of left facial palsy, with a working diagnosis of Bell’s palsy.

He describes associated recent and repeated viral symptoms and intermittent dry cough, myalgia and fatigue. COVID-19 and influenza RATs are negative