Trigeminal trophic syndrome (TTS) is a rare neurocutaneous disorder defined by trigeminal anesthesia, facial paresthesia, and crescentic ulceration of the nasal ala. We describe an 86-year-old woman with long-standing trigeminal neuralgia who developed a suspicious ulcerated lesion on the left nasal ala. Although the initial biopsy showed atypical squamous cells suggestive of squamous cell carcinoma, the combined histopathologic, radiologic, and clinical findings supported a diagnosis of TTS. This case underscores the need to distinguish TTS from malignancy, particularly in elderly patients with neurologic comorbidities. Early recognition may prevent unnecessary invasive procedures and improve outcomes.
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Han-Sang Song
IL-HWAN KIM
Hi-Jin You
Archives of Plastic Surgery
Ansan University
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Song et al. (Mon,) studied this question.
www.synapsesocial.com/papers/69ba42cf4e9516ffd37a3681 — DOI: https://doi.org/10.1055/a-2833-4794