If you're caring for a patient with Bell's palsy, a form of acute facial paralysis, consider the possibility that Lyme disease is the culprit. At the pediatricians' office where I work, we've seen several patients with Lyme disease who developed Bell's palsy. When the Lyme disease was treated, the Bell's palsy resolved. Anyone seeing a patient with Bell's palsy should keep this possibility in mind.

MARY BETH THIBODEAU, RN

Lowell, Mass.

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