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三叉神经营养综合征:一种罕见的病症。

Trigeminal trophic syndrome: a rare entity.

机构信息

Department of Skin and Venereal Diseases, TNMC and BYL Nair Ch. Hospital, Mumbai, Maharashtra, India.

出版信息

Indian J Dermatol Venereol Leprol. 2011 Nov-Dec;77(6):729. doi: 10.4103/0378-6323.86501.

DOI:10.4103/0378-6323.86501
PMID:22016290
Abstract

Trigeminal trophic syndrome is a rare condition resulting from self-manipulation of the skin after a peripheral or central injury to the trigeminal system. The syndrome consists of a classic triad of anaesthesia, paraesthesia, and a secondary persistent or recurrent facial ulceration. We describe a 60 year-old woman who developed this syndrome as a sequel to the gasserian ganglion block for trigeminal neuralgia. She had also developed melasma within 1 year. A remarkable benefit was achieved by proper patient education and topical antibiotics which led to the healing of all ulcerations within 4 weeks. In the case reported here, the diagnosis of the trigeminal trophic syndrome was made primarily as a result of the physician's experience with the syndrome previously.

摘要

三叉神经营养综合征是一种罕见的疾病,由三叉神经系统的外周或中枢损伤后自我皮肤操作引起。该综合征包括经典的三联征:麻醉、感觉异常和继发性持续性或复发性面部溃疡。我们描述了一位 60 岁女性,她因三叉神经痛行半月神经节阻滞治疗后出现该综合征。她在 1 年内还出现了黄褐斑。通过适当的患者教育和局部抗生素治疗,取得了显著的疗效,所有溃疡在 4 周内愈合。在本例中,三叉神经营养综合征的诊断主要是由于医生以前对该综合征的经验。

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