Concluded Case

TRIGEMINAL TROPHIC SYNDROME

68-year-old man presented with a new left nasal alar ulcer following a recent episode of primary herpes zoster. Physical examination revealed erythema, erosion, and necrosis of the left naris with partial loss of the alar rim. Additional erythema was present without vesicles around the left eye and on the forehead. Biopsy from the ulcer did not reveal any malignancy..what is probable diagnosis?

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Concluded answer

It's TRIGEMINAL TROPHIC SYNDROME Trigeminal trophic syndrome classically is characterized by a triad of cutaneous anesthesia, paresthesia and/or pain, and ulceration secondary to pathology of trigeminal nerve sensory branches. Ulceration arises primarily through excoriation in response to paresthetic pruritus or pain.. Caused by neuropathy and iatrogenic injury... TREATMENT... oral Gabapentin Doxepin Topical capacian cream..

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It's TRIGEMINAL TROPHIC SYNDROME Trigeminal trophic syndrome classically is characterized by a triad of cutaneous anesthesia, paresthesia and/or pain, and ulceration secondary to pathology of trigeminal nerve sensory branches. Ulceration arises primarily through excoriation in response to paresthetic pruritus or pain.. Caused by neuropathy and iatrogenic injury... TREATMENT... oral Gabapentin Doxepin Topical capacian cream..

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Trigeminal trophic syndrome..? Management.. The anti-convulsant drug most commonly prescribed for trigeminal neuralgia is carbamazepine (Tegretol), which can provide at least partial pain relief for up to 80 to 90 percent of patients. Other anti-convulsants prescribed frequently for trigeminal neuralgia include: Phenytoin (Dilantin) Gabapentin (Neurontin)

WELCOME SIR SUGGESTIVE. OF SELF. INDUCED. INJURY/ TRAUMA DUE. TO. HERPES. INFECTION. NEURALGIA. SINCE. NERVE. INVOLVED. IS. TRIGEMINAL SO KNOWN. AS TRIGEMINAL. TROPHIC. SYNDROME.

??? Trigeminal trophic syndrome

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Keep hygiene and proper cleaning Folvite OD Tab Cefixime 200 mg Cream Neosprin Local application Post Herpez secondary

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no malignancy Oint fucidin bd Linozolid600 bd Ulcer

Superadded infection

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Might be mucormycosis ? Koh mount should be done

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Probably superadded bacterial infection Flesh eating bacteria/ necrotising faciatis Culture and sensitivity And adding susceptible antibiotics

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