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Hemifacial atrophy(HFA)

MedGen UID:
8761
Concept ID:
C0015458
Disease or Syndrome
Synonyms: Facial hemiatrophy; Parry-Romberg syndrome; Progressive hemifacial atrophy; Romberg hemi-facial atrophy
SNOMED CT: Hemifacial atrophy (95834000); Facial hemiatrophy (95834000); Facial trophoneurosis (95834000); Progressive hemifacial atrophy (718224004); Parry Romberg syndrome (718224004); Romberg syndrome (718224004)
Modes of inheritance:
Not genetically inherited
MedGen UID:
988794
Concept ID:
CN307044
Finding
Source: Orphanet
clinical entity without genetic inheritance.
 
HPO: HP:0011331
Monarch Initiative: MONDO:0007710
OMIM®: 141300
Orphanet: ORPHA1214

Definition

Unilateral atrophy of facial tissues, including muscles, bones and skin. [from HPO]

Clinical features

From HPO
Trigeminal neuralgia
MedGen UID:
21683
Concept ID:
C0040997
Disease or Syndrome
A neuropathic disorder characterized by episodes of intense pain in the face, originating from the trigeminal nerve. One, two, or all three branches of the nerve may be affected.
Microtia
MedGen UID:
57535
Concept ID:
C0152423
Congenital Abnormality
Underdevelopment of the external ear.
Cerebellar ataxia
MedGen UID:
849
Concept ID:
C0007758
Disease or Syndrome
Cerebellar ataxia refers to ataxia due to dysfunction of the cerebellum. This causes a variety of elementary neurological deficits including asynergy (lack of coordination between muscles, limbs and joints), dysmetria (lack of ability to judge distances that can lead to under- or overshoot in grasping movements), and dysdiadochokinesia (inability to perform rapid movements requiring antagonizing muscle groups to be switched on and off repeatedly).
Horner syndrome
MedGen UID:
5616
Concept ID:
C0019937
Disease or Syndrome
An abnormality resulting from a lesion of the sympathetic nervous system characterized by a combination of unilateral ptosis, miosis, and often ipsilateral hypohidrosis and conjunctival injection.
Seizure
MedGen UID:
20693
Concept ID:
C0036572
Sign or Symptom
A seizure is an intermittent abnormality of nervous system physiology characterised by a transient occurrence of signs and/or symptoms due to abnormal excessive or synchronous neuronal activity in the brain.
Migraine
MedGen UID:
57451
Concept ID:
C0149931
Disease or Syndrome
Migraine is the most common type of chronic, episodic headache, as summarized by Featherstone (1985). One locus for migraine with or without aura (MGR1) has been identified on chromosome 4q24. Other loci for migraine have been identified on 6p21.1-p12.2 (MGR3; 607498), 14q21.2-q22.3 (MGR4; 607501), 19p13 (MGR5; 607508), 1q31 (MGR6; 607516), 15q11-q13 (MGR7; 609179), 5q21 (with or without aura, MGR8, 609570; with aura, MGR9, 609670), 17p13 (MGR10; 610208), 18q12 (MGR11; 610209), 10q22-q23 (MGR12; 611706), and the X chromosome (MGR2; 300125). Mutation in the KCNK18 gene (613655) on chromosome 10q25 causes migraine with aura (MGR13; 613656). A subtype of autosomal dominant migraine with aura (MA), familial hemiplegic migraine (FHM; see 141500), is caused by mutation in the CACNA1A gene (601011) on chromosome 19p13 (FHM1; 141500), by mutation in the ATP1A2 gene (182340) on chromosome 1q21 (FHM2; 602481), or by mutation in the SCN1A gene (182389) on chromosome 2q24 (FHM3; 609634). Another locus for FHM has been mapped to chromosome 1q31 (FHM4; see 607516). There is evidence that a polymorphism in the estrogen receptor gene (ESR1; 133430.0005) and a polymorphism in the TNF gene (191160.0004) may confer susceptibility to migraine. A polymorphism in the endothelin receptor type A gene (EDNRA; 131243.0001) may confer resistance to migraine.
Kyphosis
MedGen UID:
44042
Concept ID:
C0022821
Anatomical Abnormality
Exaggerated anterior convexity of the thoracic vertebral column.
Short mandibular rami
MedGen UID:
331097
Concept ID:
C1841648
Finding
Blepharophimosis
MedGen UID:
2670
Concept ID:
C0005744
Congenital Abnormality
A fixed reduction in the vertical distance between the upper and lower eyelids with short palpebral fissures.
Hemifacial atrophy
MedGen UID:
8761
Concept ID:
C0015458
Disease or Syndrome
Unilateral atrophy of facial tissues, including muscles, bones and skin.
Dental malocclusion
MedGen UID:
9869
Concept ID:
C0024636
Anatomical Abnormality
Dental malocclusion refers to an abnormality of the occlusion, or alignment, of the teeth and the way the upper and lower teeth fit together, resulting in overcrowding of teeth or in abnormal bite patterns.
Delayed eruption of teeth
MedGen UID:
68678
Concept ID:
C0239174
Finding
Delayed tooth eruption, which can be defined as tooth eruption more than 2 SD beyond the mean eruption age.
Tongue atrophy
MedGen UID:
66828
Concept ID:
C0241423
Disease or Syndrome
Wasting of the tongue.
Poliosis
MedGen UID:
67449
Concept ID:
C0221262
Disease or Syndrome
Circumscribed depigmentation of the hair of the head or the eyelashes.
Patchy alopecia
MedGen UID:
350774
Concept ID:
C1862862
Finding
Transient, non-scarring hair loss and preservation of the hair follicle located in in well-defined patches.
Deeply set eye
MedGen UID:
473112
Concept ID:
C0423224
Finding
An eye that is more deeply recessed into the plane of the face than is typical.

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVHemifacial atrophy
Follow this link to review classifications for Hemifacial atrophy in Orphanet.

Conditions with this feature

Hemifacial atrophy
MedGen UID:
8761
Concept ID:
C0015458
Disease or Syndrome
Unilateral atrophy of facial tissues, including muscles, bones and skin.

Professional guidelines

PubMed

Ullman S, Danielsen PL, Fledelius HC, Daugaard-Jensen J, Serup J
Dermatology 2021;237(2):204-212. Epub 2020 Oct 5 doi: 10.1159/000507925. PMID: 33017821

Recent clinical studies

Etiology

De la Garza-Ramos C, Jain A, Montazeri SA, Okromelidze L, McGeary R, Bhatt AA, Sandhu SJS, Grewal SS, Feyissa A, Sirven JI, Ritaccio AL, Tatum WO, Gupta V, Middlebrooks EH
AJNR Am J Neuroradiol 2022 Jun;43(6):850-856. doi: 10.3174/ajnr.A7517. PMID: 35672084Free PMC Article
Ullman S, Danielsen PL, Fledelius HC, Daugaard-Jensen J, Serup J
Dermatology 2021;237(2):204-212. Epub 2020 Oct 5 doi: 10.1159/000507925. PMID: 33017821
Yang X, Wu R, Bi H, Lu H, Jia Z, Jin X, Qi Z
Ann Plast Surg 2016 Sep;77(3):308-13. doi: 10.1097/SAP.0000000000000641. PMID: 26418803
Agostini T, Spinelli G, Marino G, Perello R
J Craniofac Surg 2014 May;25(3):783-7. doi: 10.1097/SCS.0000000000000831. PMID: 24769615
Rees TD
Clin Plast Surg 1976 Oct;3(4):637-46. PMID: 788999

Diagnosis

Schultz KP, Dong E, Truong TA, Maricevich RS
Clin Plast Surg 2019 Apr;46(2):231-237. Epub 2019 Jan 9 doi: 10.1016/j.cps.2018.11.007. PMID: 30851754
Bucher F, Fricke J, Neugebauer A, Cursiefen C, Heindl LM
Surv Ophthalmol 2016 Nov-Dec;61(6):693-701. Epub 2016 Apr 1 doi: 10.1016/j.survophthal.2016.03.009. PMID: 27045226
Tolkachjov SN, Patel NG, Tollefson MM
Orphanet J Rare Dis 2015 Apr 1;10:39. doi: 10.1186/s13023-015-0250-9. PMID: 25881068Free PMC Article
Vedvyas C, Urbanek RW
Dermatol Online J 2013 Dec 16;19(12):20717. PMID: 24365008
Rees TD
Clin Plast Surg 1976 Oct;3(4):637-46. PMID: 788999

Therapy

Chen GC, Chen MJ, Wei WB, Hao YB
J Craniofac Surg 2020 Mar/Apr;31(2):e205-e208. doi: 10.1097/SCS.0000000000006228. PMID: 31977713
Yang X, Wu R, Bi H, Lu H, Jia Z, Jin X, Qi Z
Ann Plast Surg 2016 Sep;77(3):308-13. doi: 10.1097/SAP.0000000000000641. PMID: 26418803
Koh KS, Oh TS, Kim H, Chung IW, Lee KW, Lee HB, Park EJ, Jung JS, Shin IS, Ra JC, Choi JW
Ann Plast Surg 2012 Sep;69(3):331-7. doi: 10.1097/SAP.0b013e31826239f0. PMID: 22907186
Losken A, Carlson GW, Culbertson JH, Scott Hultman C, Kumar AV, Jones GE, Bostwick J 3rd, Jurkiewicz MJ
Head Neck 2002 Apr;24(4):326-31. doi: 10.1002/hed.10082. PMID: 11933173
Bart RS, Kopf AW
J Dermatol Surg Oncol 1978 Dec;4(12):908-9. doi: 10.1111/j.1524-4725.1978.tb00579.x. PMID: 730934

Prognosis

Kaya Tutar N, Akkas SY, Omerhoca S, Kale N, Saip S
Ideggyogy Sz 2021 Nov 30;74(11-12):409-412. doi: 10.18071/isz.74.0409. PMID: 34856083
Chen JT, Schmid DB, Israel JS, Siebert JW
Plast Reconstr Surg 2018 Nov;142(5):1275-1283. doi: 10.1097/PRS.0000000000004922. PMID: 30511981
Yang X, Wu R, Bi H, Lu H, Jia Z, Jin X, Qi Z
Ann Plast Surg 2016 Sep;77(3):308-13. doi: 10.1097/SAP.0000000000000641. PMID: 26418803
Tolkachjov SN, Patel NG, Tollefson MM
Orphanet J Rare Dis 2015 Apr 1;10:39. doi: 10.1186/s13023-015-0250-9. PMID: 25881068Free PMC Article
Rees TD
Clin Plast Surg 1976 Oct;3(4):637-46. PMID: 788999

Clinical prediction guides

Gunasekera CL, Middlebrooks EH, Burkholder DB, Chen B, Sirven JI, Wong-Kisiel LC, Freund BE, Tatum WO, De la Garza-Ramos CC, Okromelidze L, Feyissa AM
J Neurol Sci 2022 Nov 15;442:120455. Epub 2022 Oct 8 doi: 10.1016/j.jns.2022.120455. PMID: 36242808
Cao Z, Li H, Wang ZH, Liang XQ
J Craniofac Surg 2022 Jan-Feb 01;33(1):108-111. doi: 10.1097/SCS.0000000000008038. PMID: 34519702Free PMC Article
Dermarkarian CR, Sweeney AR, Chambers CB, Chang SH
Int Ophthalmol 2021 Feb;41(2):599-604. Epub 2020 Oct 13 doi: 10.1007/s10792-020-01614-y. PMID: 33051768
Yang X, Wu R, Bi H, Lu H, Jia Z, Jin X, Qi Z
Ann Plast Surg 2016 Sep;77(3):308-13. doi: 10.1097/SAP.0000000000000641. PMID: 26418803
Song B, Li Y, Wang B, Han Y, Hu Y, Zhang J, Liu C, Hao D, Guo S
J Craniofac Surg 2015 Mar;26(2):e162-6. doi: 10.1097/SCS.0000000000001388. PMID: 25710747

Recent systematic reviews

Foiadelli T, Rossi A, Trabatti C, Spreafico E, Santi V, Orsini A, Verrotti A, Savasta S
Cephalalgia 2022 Apr;42(4-5):409-425. Epub 2021 Sep 26 doi: 10.1177/03331024211043452. PMID: 34569314
Hixon AM, Christensen E, Hamilton R, Drees C
Epilepsy Behav 2021 Aug;121(Pt A):108068. Epub 2021 May 28 doi: 10.1016/j.yebeh.2021.108068. PMID: 34052630
Rodby KA, Kaptein YE, Roring J, Jacobs RJ, Kang V, Quinn KP, Antony AK
Cleft Palate Craniofac J 2016 May;53(3):339-50. Epub 2015 Aug 21 doi: 10.1597/14-232. PMID: 26295800
Agostini T, Spinelli G, Marino G, Perello R
J Craniofac Surg 2014 May;25(3):783-7. doi: 10.1097/SCS.0000000000000831. PMID: 24769615

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