Zingade N D, Zingade N N
Department of Otorhinolaryngology and Head & Neck Surgery, Jawaharlal Nehru Medical College, Belgaum, Karnataka, India.
J Laryngol Otol. 2008 Mar;122(3):e7. doi: 10.1017/S002221510700151X. Epub 2008 Feb 18.
We report a rare case of Proteus syndrome which presented with dysphagia due to unilateral tonsillar hypertrophy.
Our case had involvement of multiple organs in addition to bony deformities, namely, enlarged right parotid gland and right testis, verrucous naevus, varicose veins and abdominal lipoma. The features unique to this case were a larger right optic disc and expansion of the inner table of the skull.
A literature review revealed less than 100 bona fide, published cases which fit the revised diagnostic criteria proposed by Turner.
The ENT manifestations of Proteus syndrome are high arched palate, gingival hypertrophy, malocclusion and overcrowding of teeth, hyperostosis of the external auditory meatus, and low nasal bridge. Our patient had a unilateral enlargement of the tonsil causing dysphagia, which was relieved by tonsillectomy.
