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Published on: August 21, 2017
Melkersson-Rosenthal syndrome and acquired C1 inhibitor deficiency
F Masson1, S Barete, V Frémeaux-Bacchi
1Department of Dermatology and Allergy, Tenon Hospital, Paris, France.
Background:
Melkersson-Rosenthal syndrome (MRS) is a rare disease whose full-blown form is characterized by orofacial swelling, facial palsy and lingua plicata.
Objective:
To investigate the complement system as well as its role in patients with MRS.
Methods:
Seven patients presenting at this hospital between November 2002 and May 2003 and meeting the diagnostic criteria according to Hornstein were evaluated retrospectively. The investigations included clinical signs, an analysis of the complement system including levels of CH50, C3, C4, C1 inhibitor (INH) functions and C1-INH antigen detection.
Results:
Two female patients showed isolated low levels of functional C1-INH as determined by duplicate tests. Both patients took estrogen-progestin contraceptives.
Conclusion:
Since deficiency in plasma protease C1-INH is known to lead to recurrent angioedema, we hypothesize that low levels of functional C1-INH may have contributed to the orofacial swelling in the 2 patients.
Insights
Low levels of functional C1 inhibitor (C1-INH) may contribute to orofacial swelling in Melkersson-Rosenthal syndrome (MRS). Two patients with MRS and low C1-INH levels were identified, suggesting a potential link for this rare condition.
Area of Science:
- Immunology
- Rare Diseases
- Complement System
Background:
- Melkersson-Rosenthal syndrome (MRS) is a rare disorder.
- Characterized by orofacial swelling, facial palsy, and lingua plicata.
Purpose of the Study:
- Investigate the complement system's role in MRS patients.
- Evaluate complement component levels and C1 inhibitor function.
Main Methods:
- Retrospective analysis of seven MRS patients.
- Clinical assessment and complement system analysis (CH50, C3, C4, C1-INH).
Main Results:
- Two female patients exhibited low functional C1 inhibitor (C1-INH) levels.
- Both patients were using estrogen-progestin contraceptives.
Conclusions:
- Low functional C1-INH may contribute to orofacial swelling in MRS.
- Hypothesize a link between C1-INH deficiency and MRS symptoms.
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