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Melkersson-Rosenthal Syndrome: A Case Report With a Psychosomatic Perspective.

Abstract Context • The Melkersson-Rosenthal syndrome (MRS) is a rare condition characterized by a triad of symptoms: (1) recurrent and/or persistent orofacial swelling, (2) recurrent facial paralysis, and (3) a fissured tongue. Although various contributing factors have been suggested, the etiology and mechanisms of the syndrome have not been fully elucidated. Objective • The aim of the current study was to examine for the first time some psychosomatic aspects of the syndrome and to evaluate the benefits of a brief psychotherapeutic process in which the research team worked to reintegrate the complex bio-psycho-social functioning of the patient. Design • The research team performed a case study. Setting • The study took place at the outpatient clinic for psychiatric services of the Alto Minho Local Health Unit (Viana do Castelo, Portugal). Participant • The participant was a 26-y-old woman suffering from MRS who received services at the clinic for depression. Her clinical history revealed that significant life events had acted as triggers for her syndrome, both at the start and during several exacerbations of her symptoms. Intervention • The intervention consisted of 15 weekly sessions focused on insight promotion. Outcome Measures • The case study measured changes in the patient's condition through her verbal self-reports about her physical and mental state, and the research team's clinical evaluation. Results • The treatment allowed remission of her depression and diminished the frequency of her relapses of MRS. Conclusions • The current case study offers the first report that describes how significant affective phenomena can act as triggers in the MRS. It also opens the possibility of providing psychiatric and psychological therapeutic interventions to help prevent relapses and exacerbations of that syndrome.
PMID
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Authors

Mayor MeshTerms

Melkersson-Rosenthal Syndrome

Keywords
Journal Title advances in mind-body medicine
Publication Year Start




PMID- 28183073
OWN - NLM
STAT- MEDLINE
DA  - 20170209
DCOM- 20170227
LR  - 20170227
IS  - 1532-1843 (Electronic)
IS  - 1470-3556 (Linking)
VI  - 31
IP  - 1
DP  - 2017 Winter
TI  - Melkersson-Rosenthal Syndrome: A Case Report With a Psychosomatic Perspective.
PG  - 14-17
AB  - Context * The Melkersson-Rosenthal syndrome (MRS) is a rare condition
      characterized by a triad of symptoms: (1) recurrent and/or persistent orofacial
      swelling, (2) recurrent facial paralysis, and (3) a fissured tongue. Although
      various contributing factors have been suggested, the etiology and mechanisms of 
      the syndrome have not been fully elucidated. Objective * The aim of the current
      study was to examine for the first time some psychosomatic aspects of the
      syndrome and to evaluate the benefits of a brief psychotherapeutic process in
      which the research team worked to reintegrate the complex bio-psycho-social
      functioning of the patient. Design * The research team performed a case study.
      Setting * The study took place at the outpatient clinic for psychiatric services 
      of the Alto Minho Local Health Unit (Viana do Castelo, Portugal). Participant *
      The participant was a 26-y-old woman suffering from MRS who received services at 
      the clinic for depression. Her clinical history revealed that significant life
      events had acted as triggers for her syndrome, both at the start and during
      several exacerbations of her symptoms. Intervention * The intervention consisted 
      of 15 weekly sessions focused on insight promotion. Outcome Measures * The case
      study measured changes in the patient's condition through her verbal self-reports
      about her physical and mental state, and the research team's clinical evaluation.
      Results * The treatment allowed remission of her depression and diminished the
      frequency of her relapses of MRS. Conclusions * The current case study offers the
      first report that describes how significant affective phenomena can act as
      triggers in the MRS. It also opens the possibility of providing psychiatric and
      psychological therapeutic interventions to help prevent relapses and
      exacerbations of that syndrome.
FAU - Alves, Patrick
AU  - Alves P
FAU - von Doellinger, Orlando
AU  - von Doellinger O
FAU - Quintela, Maria Luisa
AU  - Quintela ML
FAU - Fonte, Anibal
AU  - Fonte A
FAU - Coelho, Rui
AU  - Coelho R
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Adv Mind Body Med
JT  - Advances in mind-body medicine
JID - 9813115
SB  - IM
MH  - Adult
MH  - Facial Paralysis
MH  - Female
MH  - Humans
MH  - Lip/pathology
MH  - *Melkersson-Rosenthal Syndrome
MH  - Psychophysiologic Disorders
MH  - Tongue/pathology
EDAT- 2017/02/10 06:00
MHDA- 2017/02/28 06:00
CRDT- 2017/02/10 06:00
PST - ppublish
SO  - Adv Mind Body Med. 2017 Winter;31(1):14-17.

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