Mohammadi Ali, Khojasteh Ali, Khojasteh Farzaneh
Department of Plastic and Reconstructive Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
World J Plast Surg. 2020 Sep;9(3):346-348. doi: 10.29252/wjps.9.3.346.
Trigeminal trophic syndrome is an unusual cause of facial ulcers that affects the sensitive area of the trigeminal nerve. Trigeminal trophic syndrome (TTS) is an unusual condition characterized by anesthesia, paraesthesias and ala nasi ulceration, following peripheral or central damage to the trigeminal nerve. We reported a 27-year-old man who presented with a left ala nasi ulcer accompanied by pruritus and paraesthesia for two months and one month before admission, he was a case of car accident that was admitted in ICU due to diffuse axonal injury (DAI). An underlying infectious, malignant and vasculitic cause for the ulcer was excluded by a skin biopsy. So awareness of the predisposing factors and clinical presentations of this important disfiguring condition seems to be necessary to ensure prompt diagnosis and treatment.
三叉神经营养综合征是面部溃疡的一种罕见病因，影响三叉神经的敏感区域。三叉神经营养综合征（TTS）是一种罕见病症，其特征为三叉神经外周或中枢损伤后出现感觉缺失、感觉异常和鼻翼溃疡。我们报告了一名27岁男性，其左鼻翼溃疡伴瘙痒和感觉异常两个月，入院前一个月，他因弥漫性轴索损伤（DAI）在车祸后入住重症监护病房（ICU）。皮肤活检排除了溃疡的潜在感染、恶性和血管炎病因。因此，了解这种重要的毁容性疾病的诱发因素和临床表现似乎对于确保及时诊断和治疗很有必要。
