Document Detail


Trigeminal trophic syndrome.
MedLine Citation:
PMID:  17269524     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ulceration of the nose may be inadvertently induced by the patient. Although trigeminal trophic syndrome is an uncommon cause of chronic ulcers, healthcare providers should consider the possibility of this disorder when encountering a patient with nasal ulcerations. Trigeminal trophic syndrome most commonly occurs in older women following therapy for trigeminal neuralgia. The ulcers usually involve the nasal ala and paranasal areas. The clinical vignette of a man with a self-induced nasal ulcer secondary to trigeminal trophic syndrome, which was initially suspected to be skin cancer, is presented. Since nasal ulcerations can be secondary to other conditions, a lesional biopsy should be performed to exclude other diagnoses when trigeminal trophic syndrome is entertained. In addition to trigeminal trophic syndrome, the differential diagnosis of conditions that can cause nasal ulcers include factitial disorders with self-induced ulcerations (such as dermatitis artifacta and neurotic excoriations), granulomatous conditions, infectious diseases, malignancy, and pyoderma gangrenosum. Treatment of trigeminal trophic syndrome requires prevention of digital manipulation of the lesion-either by occluding contact with the ulcer, initiating psychotropic medication, or both. Psychiatric and/or pharmacologic intervention should be considered to reduce or resolve further habitual self-inflicted injury before surgical intervention.
Authors:
Hedy G Setyadi; Philip R Cohen; Keith E Schulze; Stephen H Mason; Paul T Martinelli; Eugene L Alford; George E Taffet; Bruce R Nelson
Related Documents :
24824074 - 14th international congress on antiphospholipid antibodies task force. report on antiph...
23547414 - Poland syndrome with a rare association.
23162364 - A rare cause for primary amenorrhoea.
23716954 - Orofaciodigital syndrome type-vi (varadi-papp syndrome) with several y-shaped metacarpals.
22168654 - Cord colitis syndrome in cord-blood stem-cell transplantation.
20467174 - Takotsubo cardiomiopathy after acute diarrhea.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Southern medical journal     Volume:  100     ISSN:  0038-4348     ISO Abbreviation:  South. Med. J.     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2007-02-02     Completed Date:  2007-02-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  43-8     Citation Subset:  AIM; IM    
Affiliation:
Baylor College of Medicine, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged, 80 and over
Antipsychotic Agents / therapeutic use*
Behavior Control / methods*
Biopsy
Dementia / complications,  drug therapy
Diagnosis, Differential
Humans
Male
Prognosis
Syndrome
Trigeminal Nerve Diseases / complications,  diagnosis*,  therapy*
Vitamin B Complex / therapeutic use*
Chemical
Reg. No./Substance:
0/Antipsychotic Agents; 12001-76-2/Vitamin B Complex
Comments/Corrections
Comment In:
South Med J. 2007 Jan;100(1):3   [PMID:  17269515 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Difficult conversations: anger in the clinician-patient/family relationship.
Next Document:  Chronic eosinophilic pneumonia: a review.