Trigeminal trophic syndrome: an important simulator of discoid cutaneous lupus erythematosus - a case series.

Autor: Resende LO; Department of Dermatology, University of São Paulo, Brazil., Dwan AJ; Department of Psychiatry, University of São Paulo, Brazil., Nico MM; Department of Dermatology, University of São Paulo, Brazil.
Jazyk: angličtina
Zdroj: Lupus [Lupus] 2020 Sep; Vol. 29 (10), pp. 1282-1286. Date of Electronic Publication: 2020 Jun 26.
DOI: 10.1177/0961203320935169
Abstrakt: Trigeminal trophic syndrome occurs secondary to trigeminal nerve injury, leading to anaesthesia and paraesthesia, with consequent vigorous facial skin manipulation and lesion production, simulating other facial diseases such as ulcerative discoid lupus erythematosus, tumours and other artificially produced lesions. Ulceration and destruction of the ala nasi is a typical feature besides scratching end excoriations in the cutaneous segment affected. In this series, we present the features of five patients with trigeminal trophic syndrome, highlighting possible confusion with cutaneous lupus. Differential diagnoses, including discoid lupus erythematosus, are discussed, as well as possible treatment modalities.
Databáze: MEDLINE