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Three-dimensional imaging of progressive facial hemiatrophy (Parry-Romberg syndrome) with unusual conjunctival findings

Imaging Science in Dentistry 2011³â 41±Ç 4È£ p.183 ~ 187
Preethi Balan, Subhas Babu Gogineni, Shishir Ram Shetty, Deepa D¡¯souza,
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 ( Preethi Balan ) - Nitte University AB Shetty Memorial Institute of Dental Sciences Department of Oral Medicine and Radiology
 ( Subhas Babu Gogineni ) - Nitte University AB Shetty Memorial Institute of Dental Sciences Department of Oral Medicine and Radiology
 ( Shishir Ram Shetty ) - Nitte University AB Shetty Memorial Institute of Dental Sciences Department of Oral Medicine and Radiology
 ( Deepa D¡¯souza ) - Nitte University AB Shetty Memorial Institute of Dental Sciences Department of Oral Medicine and Radiology

Abstract


Progressive hemifacial atrophy, also known as Parry-Romberg syndrome, is an uncommon degenerative condition which is poorly defined. It is characterized by a slow and progressive atrophy affecting one side of the face. The onset usually occurs during the first two decades of life. Characteristically, the atrophy progresses slowly for several years, and then it becomes stable. Ophthalmic involvement is common, with progressive enophthalmos which is a frequent finding. Cutaneous pigmentation is common in such conditions, however its extension to the conjunctiva is rarely reported. We report a case of Parry Romberg syndrome with characteristic clinical and radiographic presentation accompanied with rare ocular findings. The clinical features, radiological findings, and differential diagnoses to be considered, and the available treatment options are discussed in this report.

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Facial Hemiatrophy; Parry-Romberg Syndrome; Pigmentation; Conjunctiva

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