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  Authority of Polish Society of Allergology

vol 20. no 2. June 2015  

 Original articles
Unusual case of face oedema
Marta Rosiek-Biegus, Magdalena Kosińska, Agnieszka Kopeć, Robert Pawłowicz, Marita Nittner-Marszalska

Melkersson-Rosenthal syndrome is described as a triad of symptoms:
swelling of the face (especially the upper lip, cheek, tongue or palate),
facial palsy and fissured tongue. The syndrome often occurs as an oligosymptomatic
form and swelling of the face (isolated swelling of the upper
lip or cheek) may be the only symptom. The etiology of the syndrome
has not been clearly described so far. It is suspected that the interaction
of several factors, like genetic, infectious factors as well as autonomic
dysfunction, may play a crucial role in development of the syndrome. The
differential diagnosis should include: Quincke's edema, facial and lymphatic
tumors, inflammation of facial tissues: sinuses, teeth abscesses,
periodontal, as well as Morbihan disease, Ascher syndrome or a history of
trauma to the area. The syndrome in its chronic form is often oppressive
for the patients.
In our paper we present a case of a 57 year-old man who was admitted
to hospital with suspected oligosymptomatic Melkersson-Rosenthal syndrome.
The patient suffered from isolated cheek swelling which persisted
despite treatment for over two years. However, after a detailed diagnosis,
the cause of the condition was found to be completely different.

keywords: Zespół Melkerssona-Rosenthala, obrzęk twarzy, choroba Morbihana, zespół Ascher, Melkersson-Rosenthal syndrome, Facial edema, Morbihan disease, Ascher syndrome

pages: from 117 to 117

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