Lymphatic spread of melanoma mimicking Kaposi-like angiodermatitis.
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Biomedical subjects
Publications and source records attributed to F Cusano.
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Trigeminal trophic syndrome is an uncommon clinical entity in which cutaneous trophic ulceration develops with continuous manipulation of trigeminal dermatomes. Patients spontaneously refer picking, rubbing and/or scratching at the affected areas because of hypo-anaesthesia, paraesthesia and/or pain following damage of the sensory trigeminal fibres or nuclei. We herein describe a patient who developed the syndrome as a sequela of brain stem infarction. Diagnosis by scrape cytology in ruling-out basal cell carcinoma and other ulcerative skin diseases is discussed and the importance of neurological examination in disclosing hemi-anaesthesia of trigeminal dermatome(s) is emphasized.
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A 63-year-old woman suffering from scrotal tongue, facial palsy and granulomatous cheilitis (Melkersson-Rosenthal syndrome) is described. Treatment with clofazimine dramatically improved swelling of the lips.
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