Melkersson–Rosenthal Syndrome: The Role of The Dentist In Early Diagnosis: A Case Report
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https://doi.org/10.14419/mhzd3p96
Received date: December 28, 2025
Accepted date: February 6, 2026
Published date: February 12, 2026
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Facial Palsy; Histopathology; Macrocheilitis; Melkersson–Rosenthal Syndrome; Orofacial Granulomatosis -
Abstract
Melkersson–Rosenthal syndrome (MRS) is a rare disorder that belongs to the group of orofacial granulomatosis. It is classically defined by a clinical triad consisting of recurrent orofacial edema, peripheral facial nerve palsy, and fissured tongue, although the complete form is uncommon. Diagnosis relies mainly on histopathological examination, which demonstrates non-caseating granulomatous inflammation. The etiology and pathophysiology of MRS remain unclear, and current treatments are essentially symptomatic, with variable efficacy and frequent recurrences. Dentists play a crucial role in early diagnosis, as oral manifestations are often the first signs of the disease. This article reports a clinical case and discusses the diagnostic approach and therapeutic management of MRS based on a review of the literature.
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References
- Luo X, Wang J, Zeng X, Kuang W. Research progress on Melkersson–Rosenthal syndrome. Zhejiang Da Xue Xue Bao Yi Xue Ban. 2021;50:148–154. https://doi.org/10.3724/zdxbyxb-2021-0103.
- Sciubba JJ, Said-Al-Naief N. Orofacial granulomatosis: presentation, pathology, and management of 13 cases. J Oral Pathol Med. 2003;32:576–585. https://doi.org/10.1034/j.1600-0714.2003.t01-1-00056.x.
- Ozgursoy OB, Ozgursoy SK, Tulunay O. Melkersson–Rosenthal syndrome revisited as a misdiagnosed disease. Am J Otolaryngol Head Neck Med Surg. 2009;30:33–37. https://doi.org/10.1016/j.amjoto.2008.02.004.
- Dhawan SR, Saini AG, Singhi PD. Management strategies of Melkersson–Rosenthal syndrome: a review. Int J Gen Med. 2020;13:61–65. https://doi.org/10.2147/IJGM.S186315.
- Chbicheb S, Cherkaoui A, El Wady W. Melkersson–Rosenthal syndrome: report of two cases. Med Buccale Chir Buccale. 2007;13:143–151. https://doi.org/10.1051/mbcb/2007015.
- Gavioli CFB, Nico MMS, Florezi GP, Lourenço SV. The histopathological spectrum of Melkersson– Rosenthal syndrome: analysis of 47 cases. J Cutan Pathol. 2020;47(11):1010–1017. https://doi.org/10.1111/cup.13784.
- Lim SH, Stephens P, Cao QX, Coleman S, Thomas DW. Molecular analysis of T-cell receptor beta variability in orofacial granulomatosis. Gut. 1997;40:683–686. https://doi.org/10.1136/gut.40.5.683.
- Rosenthal C. Clinical and genetic contribution to constitutional pathology. Z Gesamte Neurol Psychiatr. 1931;131:475–501. https://doi.org/10.1007/BF02865984.
- Luscher E. Melkersson–Rosenthal syndrome. Schweiz Med Wochenschr. 1949;79:1–3.
- Orlando MR, Atkins JS. Melkersson–Rosenthal syndrome. Arch Otolaryngol Head Neck Surg. 1990;116:728–729. https://doi.org/10.1001/archotol.1990.01870060086017.
- Kaminagakura E, Jorge J Jr. Melkersson–Rosenthal syndrome: a histopathologic mystery and dermatologic challenge. J Cutan Pathol. 2011;38:241–245. https://doi.org/10.1111/j.1600-0560.2009.01446.x.
- Kauzman A, Quesnel-Mercier A, Lalonde B. Orofacial granulomatosis: two case reports and literature review. J Can Dent Assoc. 2006; 72:325–329.
- Rivera-Serrano CM, Man LX, Klein S, Schaitkin BM. Melkersson-Rosenthal syndrome: a facial nerve center perspective. J Plast Reconstr Aesthet Surg. 2014 Aug;67(8):1050-4. https://doi: 10.1016/j.bjps.2014.04.014.
- Dutt SN, Mirza S, Irving RM, Donaldson I. Total decompression of the facial nerve for Melkersson-Rosenthal syndrome. J Laryngol Otol. 2000 Nov;114(11):870-3. https://doi.org/10.1258/0022215001904202.
- Kauzman A, Quesnel-Mercier A, Lalonde B. Orofacial granulomatosis: 2 case reports and literature review. J Can Dent Assoc. 2006; 72(4): 325-329.
- Miest R, Bruce A, Rogers RS 3rd. Orofacial granulomatosis. Clin Dermatol. 2016 Jul-Aug; 34(4):505-13. https://doi.org/ 10.1016/j.clindermatol.2016.02.024.
- Chebbi D, Khadija S, Snoussi M, et al. Orofacial granulomatosis: a series of 10 cases. Rev Med Interne. 2020;41:A174. https://doi.org/10.1016/j.revmed.2020.10.296.
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How to Cite
Moussa , K. ., Amel, B. ., & Cherifa Faiza, T. .-. B. (2026). Melkersson–Rosenthal Syndrome: The Role of The Dentist In Early Diagnosis: A Case Report. International Journal of Medicine, 14(1), 17-20. https://doi.org/10.14419/mhzd3p96
