Ascher syndrome: diagnosis and surgical approach

Tassiana Simão,Mônica J Mateus Tarazona,Luna Azulay,Paula Renaux,Roberto Souto,João Carlos Macedo Fonseca

doi:10.5935/scd1984-8773.201573433

Abstract

Ascher syndrome (AS) is a rare disorder of unknown etiology characterized by the presence of double upper lip, blepharochalasis and nontoxic goiter (complete AS). The nontoxic goiter is present in 10-50% of cases (incomplete AS). Trauma, hormonal dysfunction, autosomal dominant inheritance, defects in elastic fibers and allergy are possible causes. Surgery is indicated due to the compromise of facial aesthetics, trauma, or visual difficulty, and to restore the patient’s quality of life. The present article reports the case of a patient with a double and blepharochalasis lip, diagnosed as a bearer of the incomplete Ascher syndrome, and describes the adopted conduct.

Highlights

The Ascher’s syndrome is a rare, benign entity of unknown etiology
1 It is clinically characterized by the triad double upper lip, blepharochalasis and nontoxic goiter, which compose the complete form of the syndrome
Weve described the syndrome with the inconstant presence of goiter, characterizing the complete form. 2, 3 Studies show that only 10% of blepharochalasis cases in young patients are associated with double lip

Summary

Case Reports

Mateus Tarazona Paula Renaux Roberto Souto Luna Azulay João Carlos Macedo Fonseca. The present study was conducted at the Hospital Universitário Pedro Ernesto da Universidade do Estado do Rio de Janeiro (UERJ) - Rio de Janeiro (RJ), Brazil

Introduction

Findings

Discussion