Abstract

The trigeminal trophic syndrome (TTS) is a rare form of cutaneous ulceration characterized by anesthesia, paresthesia and a secondary persistent facial ulceration. It is uncommon in children. However, we report an unusual case of TTS in a 5- year-old child with Moebius syndrome ,extending over the right nostril and then the other nostril was infected. The diagnosis of TTS was based on clinical history, tissue biopsy and serologic evaluation. The ulcer was treated with multiple antibiotics with no improvement. We describe this case because of very few pediatric cases of TTS published in the past , and to increase the awareness of this syndrome among dermatologists.

Highlights

  • The trigeminal trophic syndrome (TTS) is a rare condition resulting from peripheral or central injury to the trigeminal system

  • We report an unusual case of TTS in 5 yearold child with Moebius syndrome

  • A five year-old girl complained for a one year of a nonhealing painful progressive ulcer over the right nostril and the other nostril was infected

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Summary

INTRODUCTION

The trigeminal trophic syndrome (TTS) is a rare condition resulting from peripheral or central injury to the trigeminal system. The syndrome consists of a triad of loss of sens, paresthesia, and a secondary facial ulceration that can be persistent or recurrent [1]. It was first described as a cutaneous ulceration in the trigeminal dermatome by Wallenberg in 1901 and later by Loveman in 1933 [2]. We report an unusual case of TTS in 5 yearold child with Moebius syndrome

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