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A case of mid-face toddler excoriation syndrome (MiTES)
Lucero Noguera-Morel1, Nelmar Valentina Ortiz-Cabrera2, Minia Campos3
1Department of Dermatology, Hospital Universitario Infantil Niño Jesús, Madrid, Spain.
Abstract:
The term mid-face toddler excoriation syndrome (MiTES) has been proposed to describe a rare condition that arises in infancy as is characterized by self-inflicted excoriations. It is considered to be a milder variant of hereditary sensory-autonomic neuropathy (HSAN) type VIII. We present an 8-year-old boy with lesions on the mid-face that were admittedly self-induced and associated with an abnormally high pain threshold. The diagnosis and management of MiTES is reviewed.
Insights
Mid-face toddler excoriation syndrome (MiTES) is a rare infancy condition of self-inflicted facial sores. This milder variant of hereditary sensory-autonomic neuropathy (HSAN) type VIII presents with high pain thresholds.
Area of Science:
- Pediatric dermatology
- Neurology
- Genetics
Background:
- Mid-face toddler excoriation syndrome (MiTES) is a rare condition presenting in infancy.
- It is characterized by self-inflicted facial excoriations.
- MiTES is considered a milder variant of hereditary sensory-autonomic neuropathy (HSAN) type VIII.
Observation:
- An 8-year-old boy presented with self-induced lesions on his mid-face.
- The patient exhibited an abnormally high pain threshold.
Findings:
- The case highlights the clinical presentation of MiTES.
- Diagnosis and management strategies for MiTES were reviewed.
Implications:
- Understanding MiTES aids in early diagnosis and intervention for affected children.
- This review contributes to the literature on rare genetic neuropathies.
- Further research into HSAN variants can improve patient outcomes.
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