title: Obsessive-compulsive disorder concurrent with Melkersson-Rosenthal Syndrome: a case report.
abstract: OBJECTIVE
  To describe a case of obsessive-compulsive disorder (OCD) comorbid with Melkersson-Rosenthal Syndrome (MRS).
  
  
  METHODS
  We present a case study of comorbid OCD and MRS in a 13-year-old girl.
  
  
  RESULTS
  She admitted to doubt obsessions and a control compulsion. The patient history included frequent facial palsy attacks, and she took prednisolone during each attack. She had her first such attack at 5 years of age, and she had suffered five attacks since then, the last one occurring 2 months before her presentation. Her obsessions began 1 week after the last attack. She was diagnosed MRS and concurrent OCD based on Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, diagnostic criteria. She was started on 20 mg/day fluoxetine. The control compulsion subsided during the second month of therapy, and the doubt obsessions improved significantly.
  
  
  CONCLUSIONS
  Considering that the etiologies of MRS and childhood-onset OCD have been attributed to infectious agents and autoimmune events, we conclude that both causes may play an important role in the etiology of these conditions.
authors.affiliation: Department of Psychiatry, Mevlana University Faculty of Medicine, Konya, Turkey. Electronic address: drkayhan@yahoo.com.
authors.forename: Fatih
authors.initials: F
authors.lastname: Kayhan
authors.affiliation: Department of Neurology, Mevlana University Faculty of Medicine, Konya, Turkey.
authors.forename: Faik
authors.initials: F
authors.lastname: İlik
authors.affiliation: Department of Radiology, Konya Training and Research Hospital, Konya, Turkey. Electronic address: drkayhanaysegul@gmail.com.
authors.forename: Ayşegül
authors.initials: A
authors.lastname: Kayhan
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D008556:Melkersson-Rosenthal Syndrome / Q000150:complications*; D009771:Obsessive-Compulsive Disorder / Q000150:complications*
keywords: Compulsion; Facial paralysis; Obsession; Orofacial edema