Melkersson-rosenthal sendromu

Year 2024, , 191 - 194, 01.01.2024

Ufuk Çınkır

https://doi.org/10.31362/patd.1338509

Abstract

Melkersson-Rosenthal sendromu (MRS) yineleyici periferik fasiyal paralizi, orofasiyal ödem, fissürlü dil triadı ile kendini gösteren nadir bir nöromukokütan granülomatöz hastalıktır. MRS’nin klasik klinik triadının beraber görülmesi nadirdir. Tanısı klinik bulgular ve muayene ile konulur. Yineleyici fasiyal paralizilerin ayırıcı tanısında muhakkak düşünülmesi gerekir. Bu olgu sunumunda MRS’nin klasik triadının bir arada görüldüğü 42 yaşında, kadın hasta sunulmuştur.

Keywords

Tekrarlayıcı periferik fasiyal paralizi, orofasiyal ödem, fissürlü dil, nöromukokütan hastalık

Melkersson-rosenthal syndrome

Abstract

The Melkersson-Rosenthal syndrome (MRS) is a rare neuro mucocutaneous granulomatous disease presenting with recurrent peripheral facial paralysis, orofacial oedema, and fissured tongue. The coexistence of the classic clinical triad is rare. Clinical findings and examination make the diagnosis. It should be considered in the
differential diagnosis of recurrent facial paralysis. In this case report, a 42-year-old female patient with the classical triad of MRS is presented.

Keywords

Recurrent peripheral facial palsy, orofacial oedema, fissured tongue, neuro mucocutaneous disease

References

• 1. Melek H, Koken R, Bukulmez A, Sen TA, Demir T, Bahceli E. Melkersson rosenthal syndrome: a case report. J Current Pediatrics 2007;5:82-84.
• 2. Dhawan SR, Saini AG, Singhi PD. Management strategies of melkersson-rosenthal syndrome: a review. Int J Gen Med 2020;13:61-65. https://doi.org/10.2147/IJGM.S186315
• 3. Wehl G, Rauchenzauner M. A systematic review of the literature of the three related disease entities cheilitis granulomatosa, orofacial granulomatosis and melkersson - rosenthal syndrome. Curr Pediatr Rev 2018;14:196-203. https://doi.org/10.2174/1573396314666180515113941
• 4. Greene RM, Rogers RS. Melkersson rosenthal syndrome: a review of 36 patients. J Am Acad Dermatol 1989;21:1263-1270. https://doi.org/10.1016/s0190-9622(89)70341-8
• 5. Ang KL, Jones NS. Melkersson-rosenthal syndrome. J Laryngol Otol 2002;116:386-388. https://doi.org/10.1258/0022215021910861
• 6. Balevi B. Melkersson-rosenthal syndrome: review of the literature and case report of a 10-year misdiagnosis. Quintessence Int 1997;28:265-269.
• 7. Levenson MJ, Ingerman M, Grimes C, Anand KV. Melkersson-rosenthal syndrome. Arch Otolaryngol 1984;110:540-542. https://doi.org/10.1001/archotol.1984.00800340052015
• 8. Wadlington WB, Riley Jr HD, Lowbeer L. The melkersson-rosenthal syndrome. Pediatrics 1984;73:502-506. 9. Winnie R, DeLuke DM. Melkersson-rosenthal syndrome. Review of literature and case report. Int J Oral Maxillofac Surg 1992;21:115-117. https://doi.org/10.1016/s0901-5027(05)80546-6
• 10. Zimmer WM, Rogers 3rd RS, Reeve CM, Sheridan PJ. Orofacial manifestations of melkersson- rosenthal syndrome. A study of 42 patients and review of 220 cases from the literature. Oral Surg Oral Med Oral Pathol 1992;74:610-619. https://doi.org/10.1016/0030-4220(92)90354-s
• 11. Kesler A, Vainstein G, Gadoth N. Melkersson-rosenthal syndrome treated by methylprednisolone. Neurology 1998;51:1440-1441. https://doi.org/10.1212/wnl.51.5.1440
• 12. Orlando MR, Atkins Jr JS. Melkersson-rosenthal syndrome. Arch Otolaryngol Head Neck Surg 1990;116:728-729. https://doi.org/10.1001/archotol.1990.01870060086017
• 13. Pisanty S, Sharav Y. The melkersson-rosenthal syndrome. Oral Surg Oral Med Oral Pathol 1969;27:729-733. https://doi.org/10.1016/0030-4220(69)90139-x
• 14. Vistnes LM, Kernahan DA. The melkersson-rosenthal syndrome. Plast Reconstr Surg 1971;48:126-132. 15. Alexander RW, James RB. Melkersson-rosenthal syndrome: review of literature and report of case. J Oral Surg 1972;30:599-604.
• 16. Gerressen M, Ghassemi A, Stockbrink G, Riediger D, Zadeh MD. Melkersson-rosenthal syndrome: case report of a 30-year misdiagnosis. J Oral Maxillofac Surg 2005;63:1035-1039. https://doi.org/10.1016/j.joms.2005.03.021
• 17. Sciubba JJ, Said Al Naief N. Orofacial granulomatosis: presentation, pathology and management of 13 cases. J Oral Pathol Med 2003;32:576-585. https://doi.org/10.1034/j.1600-0714.2003.t01-1-00056.x
• 18. Leao JC, Hodgson T, Scully C, Porter S. Review article: orofacial granulomatosis. Aliment Pharmacol Ther 2004;20:1019-1027. https://doi.org/10.1111/j.1365-2036.2004.02205.x
• 19. van der Waal RI, Schulten EA, van de Scheur MR, Wauters IM, Starink TM, van der Waal I. Cheilitis granulomatosa. J Eur Acad Dermatol Venereol 2001;15:519-523. https://doi.org/10.1046/j.1468-3083.2001.00353.x
• 20. Kemal O, Ozgursoy OB, Dursun G, Tulunay O. Melkersson-rosenthal syndrome clinical and pathological findings and treatment approaches. Turkiye Klinikleri J Med Sci 2007;27:128-131.