Abstract
Trigeminal trophic syndrome (TTS) is the historic name for neuropathic self-induced facial ulceration from abnormal sensory symptoms leading to uncontrolled scratching. Anatomic co-localization of sensory loss (numbness) plus neuropathic itch and pain permits painless scratching. If the itch is severe, some patients will scratch to the point of causing self-injury. Patients may be unaware or may conceal the fact that their lesions are self-induced and thus the diagnosis presents a clinical challenge. Many cases remain undiagnosed, leading to unnecessary and ineffective tests, procedures, and prescribing. We document a patient with a central cause of TTS multiple cerebral vascular accidents and summarize the presentation, pathogenesis, and treatment options.
Original language | English (US) |
---|---|
Pages (from-to) | 125-128 |
Number of pages | 4 |
Journal | American Journal of Clinical Dermatology |
Volume | 13 |
Issue number | 2 |
DOIs | |
State | Published - 2012 |
Keywords
- Cerebral-infarction
- Imaging
- Neuropathic-pain
- Pruritus
- Self-injurious-behavior.
- Stroke
- Trigeminal-neuralgia
ASJC Scopus subject areas
- Dermatology