The trigeminal trophic syndrome: an unusual cause of nasal ulceration - 24/08/11
Abstract |
Trigeminal trophic syndrome (TTS) is an unusual complication after peripheral or central damage to the trigeminal nerve, characterized by anesthesia, paresthesias, and ala nasi ulceration. We describe a patient with classic TTS after trigeminal rhizotomy who underwent several extensive evaluations for nasal ulceration and received prolonged immunosuppressive therapy for a presumed autoimmune disorder before the correct diagnosis was made. An understanding of the predisposing factors and clinical presentation of TTS is important to ensure a timely diagnosis of this difficult-to-treat illness. Differentiation of TTS from malignancy, infection, or vasculitis is possible on the basis of clinical history, tissue biopsy, and serologic evaluation.
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Supported by National Institutes of Health grant HL007749. Conflicts of interest: None identified. |
Vol 50 - N° 6
P. 949-952 - juin 2004 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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