Lee Jae-Ho, Uh Ji-An, Kim Joong-Ho, Kim Ho-Young, Kim Myoung-Shin, Lee Un-Ha, Lee Soo-Kyung
Department of Dermatology, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.
Ann Dermatol. 2022 Oct;34(5):378-381. doi: 10.5021/ad.20.145.
Trigeminal trophic syndrome (TTS) is a rare condition characterized by anesthesia, paresthesia, and facial ulceration involving the trigeminal dermatome secondary to self-manipulation of the skin after a peripheral or central injury to the trigeminal nerve or its branches. Differential diagnosis of TTS includes conditions presenting with chronic facial ulceration, such as various infectious diseases, malignancy, vasculitis, pyoderma gangrenosum and dermatitis artefacta. We report a case of postherpetic TTS and highlight the importance of early diagnosis and prompt treatment of this condition, which may commonly be misdiagnosed.
三叉神经营养综合征（TTS）是一种罕见疾病，其特征为麻醉、感觉异常以及面部溃疡，这些症状累及三叉神经节段性皮肤区，继发于三叉神经或其分支受到外周或中枢损伤后皮肤的自我操作。TTS的鉴别诊断包括出现慢性面部溃疡的疾病，如各种传染病、恶性肿瘤、血管炎、坏疽性脓皮病和人工皮炎。我们报告一例带状疱疹后三叉神经营养综合征病例，并强调早期诊断和及时治疗这种可能常被误诊的疾病的重要性。
