Dolohanty Lindsey B, Richardson Steven J, Herrmann David N, Markman John, Mercurio Mary Gail
990 South Ave, Ste 206, Rochester, NY 14620, USA.
Cutis. 2015 Mar;95(3):E22-5.
We present the case of a 49-year-old woman with trigeminal trophic syndrome (TTS), also known as trophic trigeminal neuralgia, trigeminal neurotrophic ulceration, and/or trigeminal neuropathy with nasal ulceration. Our case represents an uncommon report of intractable itching and chronic pain associated with TTS. Emphasis was placed on skin biopsy histology, which revealed no neuronal innervation of the affected scalp despite reports of intractable itching and chronic pain. Trigeminal trophic syndrome of the V1 branch of the trigeminal nerve secondary to herpes zoster (HZ) with correlated histology is described. This article provides a discussion of TTS and correlated histology as well as a brief discussion of intractable itching and postherpetic neuralgia.
我们报告了一例49岁患有三叉神经营养综合征（TTS）的女性病例，该综合征也被称为营养性三叉神经痛、三叉神经神经营养性溃疡和/或伴有鼻溃疡的三叉神经病变。我们的病例是关于与TTS相关的顽固性瘙痒和慢性疼痛的罕见报告。重点在于皮肤活检组织学检查，尽管有顽固性瘙痒和慢性疼痛的报告，但检查显示受影响的头皮没有神经支配。本文描述了继发于带状疱疹（HZ）的三叉神经V1分支的三叉神经营养综合征及其相关组织学。本文对TTS和相关组织学进行了讨论，并对顽固性瘙痒和带状疱疹后神经痛进行了简要讨论。
