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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.2This 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 …