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Trigeminal trophic syndrome.

Parimalam Kumar1, Jayakar Thomas2

  • 1Department of Dermatology, Thanjavur Medical College, Thanjavur, Tamil Nadu, India.

Indian Journal of Dermatology
|January 29, 2014
PubMed
Summary
This summary is machine-generated.

Trigeminal trophic syndrome (TTS) causes rare facial ulcers due to trigeminal nerve damage. This case highlights TTS diagnosis in a patient with Bell's palsy, emphasizing prompt recognition for effective management.

Keywords:
Bell's palsyherpes zostertrigeminal trophic syndrome

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Area of Science:

  • Neurology
  • Dermatology

Background:

  • Trigeminal trophic syndrome (TTS) is a rare condition characterized by facial ulceration.
  • It results from damage to the trigeminal nerve or its central sensory pathways.
  • Facial ulceration, particularly on the ala nasi, associated with sensory impairment, should raise suspicion for TTS.

Purpose of the Study:

  • To report a case of Trigeminal trophic syndrome (TTS).
  • To discuss the diagnostic considerations and management of TTS in a clinical setting.

Main Methods:

  • Case report of a 48-year-old woman.
  • Clinical presentation included Bell's palsy following herpes zoster infection.
  • Diagnostic suspicion based on unilateral facial ulceration and sensory impairment.

Main Results:

  • The patient was diagnosed with Trigeminal trophic syndrome (TTS).
  • Treatment and counseling were provided.
  • No recurrence of ulceration was observed for one year during follow-up.

Conclusions:

  • Trigeminal trophic syndrome (TTS) diagnosis requires a high index of suspicion.
  • Unilateral facial ulceration, especially involving the ala nasi with sensory deficits, is a key indicator.
  • Effective management and follow-up are crucial for patients with TTS.