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Vol 20. no 2
June 2015

Unusual case of face oedema (summary)
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.
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