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Atrophy of facial muscle

Facial and bulbar muscle atrophy in acetylcholine receptor antibody-positive myasthenia gravis. A year-old man presented with seven years of progressive dysphagia, dysphonia and difficulty in closing both eyes. His examination showed weakness and atrophy of facial and bulbar muscles without ocular involvement Figure A, B and C. Single-fiber electromyography revealed increased jitter Figure D. To evaluate for concurrent myopathy, a muscle biopsy was performed and showed angulated atrophic type II fibers, a particular finding described in patients with myasthenia gravis 1 , 2 Figure E. Acetylcholine receptor antibody was positive 2.
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Progressive hemifacial atrophy

Atrophy of facial muscle
Atrophy of facial muscle
Atrophy of facial muscle
Atrophy of facial muscle
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Progressive hemifacial atrophy: a review | Orphanet Journal of Rare Diseases | Full Text

Parry—Romberg syndrome is a rare disease characterized by progressive shrinkage and degeneration of the tissues beneath the skin , usually on only one side of the face hemifacial atrophy but occasionally extending to other parts of the body. It has been reported in the literature as a possible consequence of sympathectomy. In addition to the connective tissue disease , the condition is sometimes accompanied by neurological, ocular and oral symptoms. The range and severity of associated symptoms and findings are highly variable.
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Parry-Romberg syndrome: facial atrophy and its relationship with other regions of the body.

This table lists symptoms that people with this disease may have. For most diseases, symptoms will vary from person to person. People with the same disease may not have all the symptoms listed.
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Ocular complications of atopic dermatitis. Trigeminal motor neuropathy is a rare condition presenting with muscle weakness and atrophy in the distribution of the trigeminal nerve without sensory changes. We present a challenging case with clinical features that mimic progressive hemifacial atrophy PHA , a disease characterized by slowly progressive, unilateral facial atrophy that can be accompanied by inflammation and sclerosis as early features. A clinical diagnosis of PHA was made by the rheumatology department, and the patient was referred to the dermatology department for further evaluation.
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