Case Report
A Melkersson Rosenthal Syndrome Case with No Histological Granuloma
Bahiya Elrashid Hamad, Hussam Eldin M
Ahmed, Yousif I Eltohami
Correspondence Address :
Bahiya Elrashid Hamad
Resident at Sudanese Medical Specialization
Board
Oral and Maxillofacial Surgery
Sudan
Email:
bahiya131@live.co.uk
Received on: March 14, 2018, Accepted on: March 22, 2018, Published on: March 29, 2018
Citation: Bahiya Elrashid Hamad, Hussam Eldin M Ahmed, Yousif I Eltohami (2018). A Melkersson Rosenthal Syndrome Case with No Histological Granuloma
Copyright: 2018 Bahiya Elrashid Hamad. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Melkersson Rosenthal syndrome is a unique syndrome that often falls off the differential diagnosis list. Its cause is unclear and the suggested hypotheses are multiple. This is a case of a 29 year old Sudanese female with a classical triad of Melkersson Rosenthal syndrome; with upper lip swelling, fissured tongue and facial palsy. It is rare for the syndrome to appear with the classical triad with a percentage of 25% of the cases. It all started a year ago, with a painless non-pitting swelling and later she developed facial palsy. Although histopathological investigation did not reveal any granulomatous formation, the swelling regressed on prescription of prednisolone and the facial palsy gradually disappeared. The presence of granuloma or the triad is not compulsory for the diagnosis of the syndrome.
Keywords: Facial palsy, Lip swelling, Fissured tongue