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Trigeminal Trophic Syndrome-A Unique Clinical Presentation of a Rare Condition.
Ear Nose Throat J 2019; :145561319850818EN

Abstract

This study describes a unique clinical presentation of trigeminal trophic syndrome (TTS), which is not well described within the otolaryngology literature. Trigeminal trophic syndrome classically presents with a triad of symptoms: trigeminal anesthesia, facial paresthesias, and crescent-shaped ulceration of the lateral nasal ala. The patient discussed in this report had a self-induced, waxing and waning ulceration of the frontal scalp for 7 years and was evaluated and treated ineffectively by multiple physicians, including otolaryngologists, before TTS was diagnosed and a targeted treatment was initiated. Although extranasal presentation is uncommon, this condition must be considered when ulcers are encountered in the trigeminal dermatome. This case highlights the variability in presentation and the importance of awareness of this rare syndrome. We aim to facilitate more prompt diagnosis and expedite the initiation of appropriate treatment for TTS in the field of otolaryngology.

Authors+Show Affiliations

1 Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, SC, USA.2 Department of Dermatology & Dermatologic Surgery, Medical University of South Carolina, Charleston, SC, USA.1 Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, SC, USA.1 Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, SC, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31119987

Citation

Bradburn, Kathryn H., et al. "Trigeminal Trophic Syndrome-A Unique Clinical Presentation of a Rare Condition." Ear, Nose, & Throat Journal, 2019, p. 145561319850818.
Bradburn KH, Elston D, Murphey AW, et al. Trigeminal Trophic Syndrome-A Unique Clinical Presentation of a Rare Condition. Ear Nose Throat J. 2019.
Bradburn, K. H., Elston, D., Murphey, A. W., & Patel, K. G. (2019). Trigeminal Trophic Syndrome-A Unique Clinical Presentation of a Rare Condition. Ear, Nose, & Throat Journal, p. 145561319850818. doi:10.1177/0145561319850818.
Bradburn KH, et al. Trigeminal Trophic Syndrome-A Unique Clinical Presentation of a Rare Condition. Ear Nose Throat J. 2019 May 23;145561319850818. PubMed PMID: 31119987.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Trigeminal Trophic Syndrome-A Unique Clinical Presentation of a Rare Condition. AU - Bradburn,Kathryn H, AU - Elston,Dirk, AU - Murphey,Alexander W, AU - Patel,Krishna G, Y1 - 2019/05/23/ PY - 2019/5/24/entrez KW - facial dysesthesia KW - facial ulcer KW - nonhealing ulcer KW - trigeminal trophic syndrome SP - 145561319850818 EP - 145561319850818 JF - Ear, nose, & throat journal JO - Ear Nose Throat J N2 - This study describes a unique clinical presentation of trigeminal trophic syndrome (TTS), which is not well described within the otolaryngology literature. Trigeminal trophic syndrome classically presents with a triad of symptoms: trigeminal anesthesia, facial paresthesias, and crescent-shaped ulceration of the lateral nasal ala. The patient discussed in this report had a self-induced, waxing and waning ulceration of the frontal scalp for 7 years and was evaluated and treated ineffectively by multiple physicians, including otolaryngologists, before TTS was diagnosed and a targeted treatment was initiated. Although extranasal presentation is uncommon, this condition must be considered when ulcers are encountered in the trigeminal dermatome. This case highlights the variability in presentation and the importance of awareness of this rare syndrome. We aim to facilitate more prompt diagnosis and expedite the initiation of appropriate treatment for TTS in the field of otolaryngology. SN - 1942-7522 UR - https://www.unboundmedicine.com/medline/citation/31119987/Trigeminal_Trophic_Syndrome-A_Unique_Clinical_Presentation_of_a_Rare_Condition L2 - http://journals.sagepub.com/doi/full/10.1177/0145561319850818?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -