A six-year-old boy presented with skin lesions, initially started on the left cheek at 2 years of age, then spread to left lower eyelid and forehead. On examination, diffuse sclerosis on the left cheek extending to left lower eyelid was noted. Hypoplasia of left half of the face and deviation of mouth and lips to left side were noted, with loss of eyelashes in the left lower eyelid (Fig. 1 and 2). Investigations show normal blood counts, renal function tests, and liver function tests.
Rheumatoid factor and antinuclear antibody were negative. Skin biopsy shows features suggestive of early morphea. CT scan of brain was normal. CT scan of face shows hypoplastic left maxillary sinus, left hemi-mandible, atrophy of the left hemi-facial muscles and subcutaneous fat. Parry-Romberg syndrome is an uncommon degenerative condition characterized by a slow and progressive atrophy of facial tissues.…
