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Trigeminal trophic syndrome associated with neuralgia after ischemic stroke—a case report

Trigeminal trophic syndrome (TTS) is a rare condition resulting from self‐manipulation of the skin after an injury to the trigeminal nerve. We describe the case of a 70‐year‐old woman who was hospitalized because of erythema, ulceration, and crusts on the right side of her face, accompanied by itchi...

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Autores principales: Rybak‐d′Obyrn, Joanna, Alicja, Lewandowska Julia, Joanna, Machoń Natalia, Agnieszka, Owczarczyk‐Saczonek, Waldemar, Placek
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10405243/
https://www.ncbi.nlm.nih.gov/pubmed/37554578
http://dx.doi.org/10.1002/ccr3.7711
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author Rybak‐d′Obyrn, Joanna
Alicja, Lewandowska Julia
Joanna, Machoń Natalia
Agnieszka, Owczarczyk‐Saczonek
Waldemar, Placek
author_facet Rybak‐d′Obyrn, Joanna
Alicja, Lewandowska Julia
Joanna, Machoń Natalia
Agnieszka, Owczarczyk‐Saczonek
Waldemar, Placek
author_sort Rybak‐d′Obyrn, Joanna
collection PubMed
description Trigeminal trophic syndrome (TTS) is a rare condition resulting from self‐manipulation of the skin after an injury to the trigeminal nerve. We describe the case of a 70‐year‐old woman who was hospitalized because of erythema, ulceration, and crusts on the right side of her face, accompanied by itching, burning, and irritation forcing self‐manipulation of the skin. She had been previously repeatedly treated with antibiotics, acyclovir, and topical medications without any improvement. Her medical history revealed an episode of ischemic stroke in 2016, after which a deformation and partial atrophy of the right ala nasi appeared. Trigeminal neuropathy was confirmed by a neurological consultation. Diagnosis and treatment of TTS requires a multidisciplinary approach. Awareness of this disease should be raised to enable proper diagnosis and management of difficult‐to‐treat facial ulcers that cannot be explained by common causes.
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spelling pubmed-104052432023-08-08 Trigeminal trophic syndrome associated with neuralgia after ischemic stroke—a case report Rybak‐d′Obyrn, Joanna Alicja, Lewandowska Julia Joanna, Machoń Natalia Agnieszka, Owczarczyk‐Saczonek Waldemar, Placek Clin Case Rep Case Report Trigeminal trophic syndrome (TTS) is a rare condition resulting from self‐manipulation of the skin after an injury to the trigeminal nerve. We describe the case of a 70‐year‐old woman who was hospitalized because of erythema, ulceration, and crusts on the right side of her face, accompanied by itching, burning, and irritation forcing self‐manipulation of the skin. She had been previously repeatedly treated with antibiotics, acyclovir, and topical medications without any improvement. Her medical history revealed an episode of ischemic stroke in 2016, after which a deformation and partial atrophy of the right ala nasi appeared. Trigeminal neuropathy was confirmed by a neurological consultation. Diagnosis and treatment of TTS requires a multidisciplinary approach. Awareness of this disease should be raised to enable proper diagnosis and management of difficult‐to‐treat facial ulcers that cannot be explained by common causes. John Wiley and Sons Inc. 2023-08-07 /pmc/articles/PMC10405243/ /pubmed/37554578 http://dx.doi.org/10.1002/ccr3.7711 Text en © 2023 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Case Report
Rybak‐d′Obyrn, Joanna
Alicja, Lewandowska Julia
Joanna, Machoń Natalia
Agnieszka, Owczarczyk‐Saczonek
Waldemar, Placek
Trigeminal trophic syndrome associated with neuralgia after ischemic stroke—a case report
title Trigeminal trophic syndrome associated with neuralgia after ischemic stroke—a case report
title_full Trigeminal trophic syndrome associated with neuralgia after ischemic stroke—a case report
title_fullStr Trigeminal trophic syndrome associated with neuralgia after ischemic stroke—a case report
title_full_unstemmed Trigeminal trophic syndrome associated with neuralgia after ischemic stroke—a case report
title_short Trigeminal trophic syndrome associated with neuralgia after ischemic stroke—a case report
title_sort trigeminal trophic syndrome associated with neuralgia after ischemic stroke—a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10405243/
https://www.ncbi.nlm.nih.gov/pubmed/37554578
http://dx.doi.org/10.1002/ccr3.7711
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