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Query: UMLS:C0033377 (
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11,717
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Touraine-Solente-Gole syndrome (pachydermoperiostosis [
PDP
] or primary idiopathic hypertrophic osteoarthropathy [HOA]) is a rare hereditary disorder that is characterized by a triad of manifestations that consists of skin changes (pachydermia), abnormal bone and joint manifestations (periostosis and/or artritis), and digital clubbing (acropachia). Here, we report the case of 24-year-old male who presented with severe bilateral true eyelid
ptosis
. Physical examination revealed severe
ptosis
with poor function of the levator palpabrae superioris muscle, thickening of and deep grooves in facial skin (especially at the frontal region), and abnormal appearance of the scalp with accentuating folds and deep furrows (cutis verticis gyrata). Abnormal bone enlargement of the hands, knees, and feet was also observed. Frontal rhytidectomy and levator resection and advancement were performed to alleviate symptoms. At the short-term follow-up, the patient described being satisfied with the outcome of treatment. This patient will be routinely followed over the long term to evaluate disease progression. Although the cause of
ptosis
in most
PDP
is mechanical process or dysfunction, this case of
PDP
had bilateral true eyelid
ptosis
due to poor levator palpabrae superioris muscle excursion with coexisting signs and symptoms of complete form
PDP
. This finding highlights the need to investigate for bilateral true eyelid
ptosis
caused by abnormal levator palpabrae superioris muscle function in patients diagnosed with
PDP
.
...
PMID:Touraine-Solente-Gole syndrome: Clinical manifestation with bilateral true eyelid ptosis. 3215 79