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May 1964

Progressive Facial Hemiatrophy: Report of a Case With Marked Homolateral Involvement

Author Affiliations


From the departments of internal medicine, Marion County General Hospital and Indiana University School of Medicine.

Arch Intern Med. 1964;113(5):716-720. doi:10.1001/archinte.1964.00280110096019

In view of the striking physical features and ease of diagnosis of progressive facial hemiatrophy, it is surprising that so few reports have appeared in recent medical literature. This unusual condition has been known for over a century. The first reports are attributed 1 to Parry in 1825 and Romberg in 1846, and it now bears their names. Our patient presents the characteristic facial appearance and is particularly interesting because of the spread of the condition to involve the homolateral side of his trunk and extremities, as well as the skin of the contralateral lower extremity. Also, the rather thorough studies and tissue biopsy material may help add information about this puzzling condition.

Report of Case  A 22-year-old Negro man (MCGH No. 241742) had first been admitted to Marion County General Hospital in December, 1948, for a tonsillectomy at the age of eight years. No abnormal physical features were described

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