Melkersson-Rosenthal sendromu: Bir çocuk olgunun sunumu

Melkersson-Rosenthal sendromu MRS ; yüzde ödem, yedinci sinir felci ve yarık dil ile kendini gösteren bir sendromdur. Kesin nedeni belli değildir. Kalıtımsal veya sonradan olan etkenlerin yol açabileceği düşü- nülmektedir. Çocuklarda nadir olarak görülür. Bu yazı- da 10 yaşında, tekrarlayan yüz felci ve yüzde ödem ile MRS tanısı konan bir erkek olgu sunuldu

Melkersson-Rosenthal syndrome: a case report on a child

Melkersson-Rosenthal syndrome MRS includes the triad of oro-facial edema, facial nerve palsy and furrowed tongue. The exact etiology is unknown. However, genetic and acquired factors have been implicated. It is rare in children. In this study, we report a ten year old boy who was diagnosed with MRS with recurrent facial nerve paralysis and facial edema.

___

  • Ziem PE, Pfrommer C, Goerdt S, Orfanos CE, Blume- Peytavi U. Melkersson-Rosenthal syndrome in child- hood: a challenge in differential diagnosis and treat- ment. Br J Dermatol 2000;143:860-3.
  • Ruza Paz-Curbera E, Fernández Benítez M. Melkersson-Rosenthal syndrome in a diabetic boy. Allergol Immunopathol (Madr) 1998;26:291-3.
  • Khandpur S, Malhotra AK, Khanna N. Melkersson- Rosenthal syndrome with diffuse facial swell- ing and multiple cranial nerve palsies. J Dermatol 2006;33:411-4.
  • Fenichel MG. Clinical pediatric neurology: a signs and symptoms approach. 5th ed. Philadelphia: W. B. Saunders; 2005.
  • Kumandaç S, Gümüş H, Topaloğlu N, Akcakuş M, Güneş T. Çocukluk çağında Melkersson-Rosenthal sendromu ve steroit tedavisi: İki vakanın takdimi. Çocuk Sağlığı ve Hastalıkları Dergisi 2002;45:252-5.
  • Melek H, Köken R, Bükülmez A, Şen TA, Demir T, Bahçeli E. Melkersson-Rosenthal sendromu: Bir olgu sunumu. Güncel Pediatri 2007;5:82-4.
  • Akbulut S, Özkırış M, Uzun B, Berk D, Kubilay U, Ünver Ş. Melkersson-Rosenthal sendromu: İki olgu sunumu. Türk Otolaringoloji Arşivi 2005;43:154-6.
  • Cabrera-Gómez JA, Echazabal-Santana N, Real-González Y, Romero García K, Junior Sobrinho M, Gil Ocaña MA, et al. Hereditary Melkersson-Rosenthal syndrome and multiple sclerosis. Mult Scler 2005; 11:364-6.
  • Özışık HI, Kızkın S, Turgut S, Özcan H, Özcan C. Melkersson-Rosenthal sendromu ve gebelik: Olgu sunumu. İnönü Üniversitesi Tıp Fakültesi Dergisi 2002; 9:119-21.
  • Eidlitz-Markus T, Gilai A, Mimouni M, Shuper A. Recurrent facial nerve palsy in paediatric patients. Eur J Pediatr 2001;160:659-63.
  • Apaydin R, Bahadir S, Kaklikkaya N, Bilen N, Bayramgürler D. Possible role of Mycobacterium tuberculosis complex in Melkersson-Rosenthal syn- drome demonstrated with Gen-Probe amplified Mycobacterium tuberculosis direct test. Australas J Dermatol 2004;45:94-9.
  • Opala G, Krzystanek E, Siuda J, Pilch-Kowalczyk J. Melkersson-Rosenthal syndrome as a rare cause of recurrent facial nerve palsy. Neurol Neurochir Pol 2005;39:335-8. [Abstract]
  • Smeets E, Fryns JP, Van den Berghe H. Melkersson- Rosenthal syndrome and de novo autosomal t(9;21) (p11;p11) translocation. Clin Genet 1994;45:323-4.
  • Ates O, Yoruk O. Unilateral anterior uveitis in Melkersson-Rosenthal syndrome: a case report. J Int Med Res 2006;34:428-32.
  • Levy FS, Bircher AJ, Büchner SA. Delayed-type hyper- sensitivity to cow’s milk protein in Melkersson- Rosenthal syndrome: coincidence or pathogenetic role? Dermatology 1996;192:99-102.
  • Yetiser S, Satar B, Kazkayasi M. Immunologic abnor- malities and surgical experiences in recurrent facial nerve paralysis. Otol Neurotol 2002;23:772-8.
  • Sciubba JJ, Said-Al-Naief N. Orofacial granulomatosis: presentation, pathology and management of 13 cases. J Oral Pathol Med 2003;32:576-85.
  • van der Waal RI, Schulten EA, van der Meij EH, van de Scheur MR, Starink TM, van der Waal I. Cheilitis granulomatosa: overview of 13 patients with long- term follow-up-results of management. Int J Dermatol 2002;41:225-9.
  • Kemal Ö, Özgürsoy OB, Dursun G, Tulunay Ö. Melkersson-Rosenthal sendromu klinik ve patolojik bulgular ve tedavi yaklaşımları. Türkiye Klinikleri J Med Sci 2007;27:128-31.
  • Kruse-Lösler B, Presser D, Metze D, Joos U. Surgical treatment of persistent macrocheilia in patients with Melkersson-Rosenthal syndrome and cheilitis granu- lomatosa. Arch Dermatol 2005;141:1085-91.