Medicine:Trigeminal trophic syndrome
| Trigeminal trophic syndrome | |
|---|---|
| Other names | Trigeminal trophic lesion |
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| Specialty | Dermatology |
Trigeminal trophic syndrome is a rare disease caused by the interruption of peripheral or central sensory pathways of the trigeminal nerve. A slowly enlarging, uninflamed ulcer can occur in the area that has had trigeminal nerve damage; including but not limited to the cheek beside the ala nasi.[1]: 65
Signs and symptoms
The most common complaints are feelings of picking, rubbing, or scratching in the afflicted areas. A nonhealing ulcer is present in most patients. The ala nasi is frequently affected by a recognizable, painless, sickle-shaped lesion with a well-defined margin. The ulcers are incredibly persistent once they start.[2]
Causes
Trigeminal trophic syndrome can present with the following conditions and diseases: syphilis, amyloid deposits in the CNS and trigeminal nerve, trauma, craniotomy, tumor, Wallenberg syndrome (stroke/vascular insufficiency), herpes zoster, herpes simplex, syphilis, and neurological complications from birth trauma or it can be idiopathic.[3]
Treatment
Treating trigeminal trophic syndrome is a difficult task. Among the options are transcutaneous nerve stimulation, protective dressings, behavioral modification, medication intervention, and surgical repair; however, none of these have been proven to be consistently effective.[3]
Epidemiology
Sixty cases were reported from 1982 to 2002.[4] Trigeminal trophic syndrome is more common in women as compared to men.[5]
See also
- Trigeminal neuralgia
- Skin lesion
- List of cutaneous conditions
- Somatosensory system
References
- ↑ James, William D. et al. (2006). Andrews' Diseases of the Skin: clinical Dermatology. Saunders Elsevier. ISBN 978-0-7216-2921-6.
- ↑ Kumar, Parimalam; Thomas, Jayakar (2014). "Trigeminal trophic syndrome". Indian Journal of Dermatology (Medknow) 59 (1): 75–76. doi:10.4103/0019-5154.123506. ISSN 0019-5154. PMID 24470665.
- ↑ 3.0 3.1 Nayak, ChitraS; Pereira, RicksonR; Mishra, SunilN; Deshpande, DeepalJ (2011). "Trigeminal trophic syndrome: A rare entity". Indian Journal of Dermatology, Venereology and Leprology (Scientific Scholar) 77 (6): 729. doi:10.4103/0378-6323.86501. ISSN 0378-6323. PMID 22016290.
- ↑ Sadeghi, P.; Papay, FA.; Vidimos, AT. (May 2004). "Trigeminal trophic syndrome--report of four cases and review of the literature.". Dermatol Surg 30 (5): 807–12; discussion 812. doi:10.1111/j.1524-4725.2004.30220.x. PMID 15099331.
- ↑ Weintraub, Eileen; Soltani, Keyoumars; Hekmatpanah, Javad; Lorincz, Allan L. (1982). "Trigerninal trophic syndrome". Journal of the American Academy of Dermatology (Elsevier BV) 6 (1): 52–57. doi:10.1016/s0190-9622(82)80200-4. ISSN 0190-9622. PMID 7085956.
Further reading
- Gupta, LalitKumar; Srivastava, Ankita; Khare, AshokKumar; Mittal, Asit; Mehta, Sharad; Balai, Manisha (2016). "Trigeminal trophic syndrome". Indian Dermatology Online Journal (Medknow) 7 (4): 346–347. doi:10.4103/2229-5178.185485. ISSN 2229-5178. PMID 27559529.
- Yang, Christine C.; Tolpinrud, Whitney L.; Grossman, Marc E. (2014). "Trigeminal trophic syndrome secondary to recurrent meningioma". Journal of the American Academy of Dermatology (Elsevier BV) 70 (5): e110–e111. doi:10.1016/j.jaad.2013.09.049. ISSN 0190-9622. PMID 24742854.
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