Which are the symptoms of Parry-Romberg syndrome / Progressive hemifacial atrophy?

Symptoms of Parry-Romberg Syndrome / Progressive Hemifacial Atrophy

Parry-Romberg Syndrome, also known as Progressive Hemifacial Atrophy, is a rare disorder characterized by the progressive wasting away (atrophy) of the tissues on one side of the face. The condition typically begins in childhood or adolescence and worsens over time. While the exact cause of Parry-Romberg Syndrome is unknown, it is believed to involve an autoimmune or inflammatory process affecting the facial tissues.

Facial Asymmetry: The most prominent and characteristic symptom of Parry-Romberg Syndrome is the asymmetry of the face. The atrophy usually affects one side of the face, causing a noticeable difference in appearance between the affected and unaffected sides. The degree of asymmetry can vary widely, ranging from mild to severe.

Skin Changes: The atrophy of facial tissues can lead to various skin changes on the affected side. These changes may include:

• Thinning of the skin


• Loss of fat tissue


• Depigmentation or hyperpigmentation


• Increased sensitivity to sunlight

Facial Skeletal Changes: In addition to the soft tissues, Parry-Romberg Syndrome can also affect the underlying facial bones. This can result in:

• Loss of bone volume


• Deformation of the jaw


• Malocclusion (misalignment of the teeth)

Eye Involvement: The condition may also affect the eye and its surrounding structures on the affected side. Some common eye-related symptoms include:

• Enophthalmos (sunken appearance of the eye)


• Strabismus (misalignment of the eyes)


• Ptosis (drooping of the eyelid)


• Decreased tear production

Neurological Symptoms: Parry-Romberg Syndrome can occasionally be associated with neurological symptoms, although they are less common. These may include:

• Migraine-like headaches


• Seizures


• Numbness or tingling in the face


• Facial pain

Dental and Oral Manifestations: The atrophy of facial tissues can also impact the oral cavity and dental structures. Some dental symptoms associated with Parry-Romberg Syndrome include:

• Delayed eruption of teeth


• Malformation of teeth


• Asymmetrical growth of the jaw


• Gum recession

Other Possible Symptoms: While less common, Parry-Romberg Syndrome may also present with additional symptoms such as:

• Hair loss on the affected side of the scalp or eyebrows


• Atrophy of the tongue


• Hearing loss


• Speech difficulties

It is important to note that the progression and severity of symptoms can vary from person to person. Some individuals may experience a relatively stable course with minimal progression, while others may have more rapid and extensive deterioration.

If you suspect you or someone you know may have Parry-Romberg Syndrome, it is crucial to consult with a medical professional for an accurate diagnosis and appropriate management.

by Diseasemaps