This is a 25-year-old girl of western Indian origin, the third child of non-consanguineous parents of normal stature presented with a 12-month long history of a slowly progressing bilateral facial swelling with severe facial disfigurement (Image attached) She gave a history of dull pain, restricted mouth opening, and yellowish-red colored discharge intermittently from the buccal mucosa on the left side. On further questioning, she gave a history of a similar swelling on the left side 12 years back, which was surgically treated. The medical, personal and family history revealed no positive findings.
General physical examination It revealed areas of hyperpigmentation on the left upper eyelid and dorsal surface of the first interphalangeal joints of all fingers with multiple palmar pits and a mole on the upper trunk. Maxillofacial examination revealed facial disfigurement, restricted mouth…
