Images in Clinical Medicine

By Dr. Shruthi Hegde , Dr. Sumona Pal , Dr. Subhas Babu
Corresponding Author Dr. Shruthi Hegde
Department of Oral Medicine and Radiology, Nitte University, - India
Submitting Author Dr. Shruthi Hegde
Other Authors Dr. Sumona Pal
Haldia Institute of Dental Sciences, West Bengal, - India

Dr. Subhas Babu
A B Shetty Memorial Institute of Dental Sciences, - India


Syndrome, Hemifacial Atrophy, Coub De sabre

Hegde S, Pal S, Babu S. Parry Romberg Syndrome. WebmedCentral DENTISTRY 2012;3(1):WMC002868
doi: 10.9754/journal.wmc.2012.002868

This is an open-access article distributed under the terms of the Creative Commons Attribution License(CC-BY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Submitted on: 11 Jan 2012 10:53:06 AM GMT
Published on: 11 Jan 2012 10:28:22 PM GMT


A 35-year old female presented to us with deformity on the right side of the face. The patients history revealed the occurrence of an indurated area on the right side of the face 19-years prior to the date of reporting. The indurated area showed gradual increase in the pigmentations and progressive atrophy on the same side of the face over the years. Previous attempts of treatment with cortico-steroids showed limited reduction in pigmentations. History of progressive increase in mobility of the tooth on the same side of the jaw lead to multiple uneventful extractions. On examination atrophic changes were observed on the right lower third of the face with corrugation of the skin near the angle of the mouth. Wrinkled appearance of the overlying skin due to lack of subcutaneaous fat was evident on the right side. The changes were only restricted to right side of the midline (Figure 1). Hyper pigmented areas with stretched shiny appearance was observed over the right malar region. This was in sharp contrast to the normal appearing left side of the face. Based on these clinical finding and characteristic history provided by the patient a clinical diagnosis of hemifacial atrophy was made. Since the condition did not cause major esthetic concern, the patient was advised regular follow up.

Source(s) of Funding


Competing Interests



This article has been downloaded from WebmedCentral. With our unique author driven post publication peer review, contents posted on this web portal do not undergo any prepublication peer or editorial review. It is completely the responsibility of the authors to ensure not only scientific and ethical standards of the manuscript but also its grammatical accuracy. Authors must ensure that they obtain all the necessary permissions before submitting any information that requires obtaining a consent or approval from a third party. Authors should also ensure not to submit any information which they do not have the copyright of or of which they have transferred the copyrights to a third party.
Contents on WebmedCentral are purely for biomedical researchers and scientists. They are not meant to cater to the needs of an individual patient. The web portal or any content(s) therein is neither designed to support, nor replace, the relationship that exists between a patient/site visitor and his/her physician. Your use of the WebmedCentral site and its contents is entirely at your own risk. We do not take any responsibility for any harm that you may suffer or inflict on a third person by following the contents of this website.

6 reviews posted so far

Parry Romberg Syndrome
Posted by Dr. William J Maloney on 07 Feb 2014 04:08:48 PM GMT Reviewed by Interested Peers
This review will not be counted towards final review score for this article and for its inclusion into WebmedCentral Peer Reviewer articles because reviewer did not feel he/she had sufficient experience and knowledge to review the article.

Parry Romberg Syndrome
Posted by Dr. Amol R Gadbail on 28 Mar 2012 02:06:45 PM GMT

On Parry Romber disease
Posted by Dr. Constantino Ledesma-Montes on 01 Mar 2012 09:01:45 AM GMT

More details.
Posted by Dr. Srikanth N on 01 Feb 2012 09:55:09 AM GMT

Parry Romberg Syndrome
Posted by Dr. Vidya Ajila on 13 Jan 2012 07:19:37 AM GMT

Parry Romberg Syndrome.
Posted by Dr. Sonika Achalli on 13 Jan 2012 01:03:41 AM GMT

0 comments posted so far

Please use this functionality to flag objectionable, inappropriate, inaccurate, and offensive content to WebmedCentral Team and the authors.


Author Comments
0 comments posted so far


WebmedCentral Article: Parry Romberg Syndrome

What is article Popularity?

Article popularity is calculated by considering the scores: age of the article
Popularity = (P - 1) / (T + 2)^1.5
P : points is the sum of individual scores, which includes article Views, Downloads, Reviews, Comments and their weightage

Scores   Weightage
Views Points X 1
Download Points X 2
Comment Points X 5
Review Points X 10
Points= sum(Views Points + Download Points + Comment Points + Review Points)
T : time since submission in hours.
P is subtracted by 1 to negate submitter's vote.
Age factor is (time since submission in hours plus two) to the power of 1.5.factor.

How Article Quality Works?

For each article Authors/Readers, Reviewers and WMC Editors can review/rate the articles. These ratings are used to determine Feedback Scores.

In most cases, article receive ratings in the range of 0 to 10. We calculate average of all the ratings and consider it as article quality.

Quality=Average(Authors/Readers Ratings + Reviewers Ratings + WMC Editor Ratings)