Trigeminal trophic syndrome from stroke: an under-recognized central neuropathic itch syndrome.

Abstract:

:Trigeminal trophic syndrome (TTS) is the historic name for neuropathic self-induced facial ulceration from abnormal sensory symptoms leading to uncontrolled scratching. Anatomic co-localization of sensory loss (numbness) plus neuropathic itch and pain permits painless scratching. If the itch is severe, some patients will scratch to the point of causing self-injury. Patients may be unaware or may conceal the fact that their lesions are self-induced and thus the diagnosis presents a clinical challenge. Many cases remain undiagnosed, leading to unnecessary and ineffective tests, procedures, and prescribing. We document a patient with a central cause of TTS - multiple cerebral vascular accidents - and summarize the presentation, pathogenesis, and treatment options.

journal_name

Am J Clin Dermatol

authors

Curtis AR,Oaklander AL,Johnson A,Yosipovitch G

doi

10.2165/11594060-000000000-00000

subject

Has Abstract

pub_date

2012-04-01 00:00:00

pages

125-8

issue

2

eissn

1175-0561

issn

1179-1888

journal_volume

13

pub_type

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