Case Report 11 - Female with Progression Age 6 to 17

Case Report 11, Parry-Rombergs Syndrome

Age of onset:  5 or 6 years old

Initial symptoms:  reduction in eyebrow, atrophy of left cheek with hollowing out of temple, reduction in tissue of left side of nose

Progressive symptoms:   similar of initial symptoms with continued reduction in left cheek, a dark mark appeared on neck like a birth mark but with an undefined shape, roots missing to 3 teeth on left side thus those 3 teeth are smaller than others. A light fold on left part of down lip. Headaches during midteen years.   Lower jaw isn't straight and is too deep-set on left side causing misaligned bite with upper jaw.

Medications/Procedures:  ostheopathy for the headache; In December 2008,  jaw replaced with orthodentic work.  Planned fat injections in cheek and under the muscle of the temple in 2009.

Other significant information:  father has arthritis, patient believes that progression stopped at age 17.

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