REFERENCESBackgroundThe purpose of this report is to present a rare entity of Parry-Romberg syndrome. This poorly understood degenerative condition is characterised by atrophic changes affecting one side of the face. The cause of these changes remains obscure.MethodsThe authors report one rare case of a 31 year old female patient with Parry-Romberg syndrome, accompanied by a brief review of literature.ResultsClinical examination of the patient revealed evident facial asymmetry, malar hypoplasia, atrophy of skin and other tissues on the left side, hyperpigmentation of skin on the left side of the face. Final diagnosis of a Parry-Romberg syndrome (“progressive hemifacial atrophy”) was based on thorough clinical and a radiological examination. Treatment using alloplastic implants to improve facial disfigurement was suggested to the patient.ConclusionsIn most cases, Parry-Romberg syndrome appears to occur randomly for unknown reasons. The pathophysiology of the syndrome remains unknown. There is no definitive treatment for this condition but an attempt to use restorative plastic surgery which includes fat or silicone implants, flap/pedicle grafts, or bone implants can be done to improve facial disfigurement.

BackgroundThe purpose of this report is to present a rare case of allergic chelitis secondary to latex in an elderly diabetic patient. There are very few reported cases of allergic cheilitis in literature. Most of the reported cases of allergic chelitis were secondary to cosmetics, tooth pastes or impression materials. Few cases of rubber dam induced allergic cheilitis and stomatitis reported.MethodsSince the patient was diabetic on insulin therapy and belonged to the elderly age group, utmost caution was observed while performing diagnostic tests and treatment procedures. The use test was performed to detect the allergen (latex) because of short contact time to the skin surface.ResultsThe patient was followed-up for a period of eight months, complete healing of the lesions was witnessed. The patient has not reported of any lesions later.ConclusionsAppropriate diagnostic test and interdisciplinary approach in consultation with medical specialists would be ideal for the management of allergic cheilitis especially in diabetic elderly patients.

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