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Images in Clinical Practice
2015:81:6;651-651
doi: 10.4103/0378-6323.158645
PMID: 26515861

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
How to cite this article:
Gupta V, Khandpur S. Blepharochalasis with double lip: A case of Ascher syndrome. Indian J Dermatol Venereol Leprol 2015;81:651
Copyright: (C)2015 Indian Journal of Dermatology, Venereology, and Leprology

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.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.


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