Blepharochalasis with double lip: A case of Ascher syndrome

Vishal Gupta, Sujay Khandpur

 Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Sujay Khandpur
Department of Dermatology and Venereology, Fourth Floor, Teaching Block, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110 029
India

A 12-year-old boy presented with recurrent upper eyelid swelling since 2 years of age. Examination showed edema and laxity of both upper eyelids and loose mucosa hanging from the inner aspect of the upper lip ('double upper-lip') [Figure - 1] suggestive of Ascher syndrome.

Figure 1: Edema affecting both upper eyelids and redundant fold of mucosa hanging from upper lip giving the appearance of 'double lip'

Ascher syndrome is characterized by blepharochalasis, double lip and non-toxic goiter but all the features may not be seen in every case. It can be confused with Melkersson–Rosenthal syndrome, hereditary angioedema, early-onset dermatochalasis and acquired cutis laxa. Mounier–Kuhn syndrome can also have similar features, in addition to congenital tracheo-bronchomegaly. The treatment is surgical correction of the deformities.

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Conflicts of interest

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