Harlequin Syndrome With Hemifacial Atrophy: A Case Study


Polat M., Tuğ E., Atasoy H. I., Parlak A. H.

TURKDERM-TURKISH ARCHIVES OF DERMATOLOGY AND VENEROLOGY, cilt.46, sa.1, ss.50-52, 2012 (SCI-Expanded) identifier identifier

Özet

Harlequin syndrome is an autonomic syndrome of heat, emotion and exercise induced flushing and sweating limited to one side of the face in combination with impairment of sweating and flushing on the contralateral side. Facial flushing and sweating has been named the "Harlequin Sign". This rare feature, "Harlequin Sign", represents a local autonomic dysfunction due to a cervical sympathetic deficit located at the pre or postganglionic level on the non-flushing side. Harlequin syndrome overlaps with several other syndromes. Parry-Romberg syndrome is a rare clinical entity of an unknown etiology. It is also described as progressive hemifacial atrophy. We report a nine-years old Turkish boy with asymmetrical facial sweating, flushing and hemifacial atrophy on the right side of his face. Facial flushing and sweating are induced by exercise, thermal, and emotional stimuli. (Turkderm 2012; 46: 50-2)