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<p><?tk 1?>Melkersson–Rosenthal Syndrome in early childhood is challenging due to its variable presentation and rarity in this age group. Delays in diagnosis may lead to unnecessary interventions. This report contributes to limited paediatric data and aims to enhance clinician awareness. Melkersson–Rosenthal syndrome (MRS) is an infrequent neuro-mucocutaneous disorder defined by the triad of recurrent painless orofacial edema, relapsing facial nerve palsy, and fissured (lingua plicata) tongue. Paediatric cases are exceptional; most series describe adolescents or young adults. We report the diagnostic journey and successful exclusively medical management of a 4 year old girl who presented to an otolaryngology out patient department (OPD) with acute unilateral facial swelling. Early recognition of the syndrome, guided by focused ENT assessment and supported by literature, allowed symptom control with systemic and intralesional corticosteroids, obviating surgical intervention. The case underlines the importance of considering MRS in atypical facial swelling in children and highlights practical treatment pearls for resource-limited settings.</p>

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Early Onset Melkersson–Rosenthal Syndrome: A Case Managed Conservatively in an ENT Outpatient Clinic

  • 期刊论文

  • 发表日期：

    2025年11月25日

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  • Sameeksha Mishra,
  • Sunil Kumar Singh Badouriya,
  • Sudhakar Vaidya

摘要

Melkersson–Rosenthal Syndrome in early childhood is challenging due to its variable presentation and rarity in this age group. Delays in diagnosis may lead to unnecessary interventions. This report contributes to limited paediatric data and aims to enhance clinician awareness. Melkersson–Rosenthal syndrome (MRS) is an infrequent neuro-mucocutaneous disorder defined by the triad of recurrent painless orofacial edema, relapsing facial nerve palsy, and fissured (lingua plicata) tongue. Paediatric cases are exceptional; most series describe adolescents or young adults. We report the diagnostic journey and successful exclusively medical management of a 4 year old girl who presented to an otolaryngology out patient department (OPD) with acute unilateral facial swelling. Early recognition of the syndrome, guided by focused ENT assessment and supported by literature, allowed symptom control with systemic and intralesional corticosteroids, obviating surgical intervention. The case underlines the importance of considering MRS in atypical facial swelling in children and highlights practical treatment pearls for resource-limited settings.