Letters to the editor
Bilateral conjunctival lesions in Melkersson-Rosenthal syndrome
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EDITOR,
The Melkersson syndrome is a rare
granulomatous disease of unknown origin. The typical clinical
picture consists of recurrent facial oedema associated with peripheral
facial palsy and was first described by Melkersson in
1928.1 Three years later a fissured tongue called lingua
plicata was added to the classic features by Rosenthal.2
This clinical triad in patients with granulomatous cheilitis, facial
palsy, and fissured tongue was first called Melkersson-Rosenthal
syndrome (MRS) by Lüscher in 1949.3
We report on a patient with the typical clinical signs who had chronic bilateral conjunctival lesions. To our knowledge an association of conjunctival lesions with MRS has not been described previously.
CASE REPORT
A 64 year old man presented with a fissured tongue, recurrent painless
facial oedema, especially of the eyelids, and facial flush for 6 years.
A review of the other systemic diseases was unremarkable. He
required blepharoplasty for the correction of lid malformation. The
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