Elloumi-Jellouli A, Ben Ammar S, Fenniche S, Zghal M, Marrak H, Mokhtar I
Dermatology Department, EPS Habib Thameur, Tunis.
Dermatol Online J. 2003 Dec;9(5):26.
Trigeminal trophic syndrome, a rare cause of facial ulceration, is the consequence of damage to the trigeminal nerve or its central sensory connections. We report two cases of trigeminal trophic syndrome, complications of cerebral vascular accidents. A 65-year-old woman complained of numerous and progressive ulcers of the right side of her face of 2 month's duration. A 67-year-old woman presented with an ulcer of the ala nasi of 10 week's duration. This syndrome most commonly occurs in women with an average age of 57 years. About 100 cases are reported in the literature. The diagnosis is made on clinical grounds, and is suggested when loss of sensation occurs in association with unilateral facial ulceration, especially involving the ala nasi. Once the ulcers appear, they are extremely persistent.
三叉神经营养综合征是面部溃疡的罕见病因，是三叉神经或其中枢感觉连接受损的结果。我们报告两例三叉神经营养综合征病例，均为脑血管意外的并发症。一名65岁女性主诉右侧面部出现多处进行性溃疡，病程2个月。一名67岁女性出现鼻翼溃疡，病程10周。该综合征最常见于平均年龄57岁的女性。文献报道约100例。根据临床表现进行诊断，当感觉丧失与单侧面部溃疡尤其是累及鼻翼的溃疡同时出现时应考虑该病。一旦溃疡出现，就极难愈合。
