PA13 Unilateral facial flushing in a 3-year-old girl
نویسندگان
چکیده
Abstract A 3-year-old girl presented with an 18-month history of left-sided facial erythema involving her left cheek. This occurred within seconds to minutes after eating food and lasted between 5 20 min before complete spontaneous resolution without any associated symptoms. The flushing was not confined a particular type. She born at 37 weeks via forceps-assisted delivery, which had resulted in small laceration upper no significant past medical on medications. Her twin sister did suffer from the same phenomenon. Examination revealed abnormalities skin. Ingestion chocolate bar provoked immediate subtle extending preauricular skin mid-cheek. Overlying texture temperature unchanged, there hyperhidrosis. cranial nerves unremarkable baseline provocation. completely resolved min. little Frey syndrome (FS) secondary traumatic delivery birth. typically consists gustatory hyperhidrosis response chewing or smell, taste thought auriculotemporal distribution. It is due aberrant regeneration parasympathetic fibres instead sympathetic along auricolotemporal branch mandibular nerve following trauma infection parotid gland (O’Neill JP. Lucja Frey—historical relevance review. Surgeon 2008; 6:178–81). Instead causing production saliva food, cause In adults, FS previous surgery gland. There are case reports it arising as consequence infants. One study reported eight cases infants stimulus. Six delivery. None experienced concluded that arose All spontaneously treatment (Dizon MV. Localized infancy. Auriculotemporal (Frey) syndrome. Arch Dermatol 1997; 133:1143–5). often erroneously attributed allergy. thorough for region recommended unilateral flushing. As runs benign, self-limiting course children, our patient reassured discharged treatment.
منابع مشابه
Unilateral sight loss in a 4-year-old girl.
For 6 weeks the parents of a 4-year-old girl had noticed a difference between the two eyes of their child. Ophtalmological examination revealed leukocoria. This finding raised clinical suspicion of retinoblastoma. MRI was performed. On T2 weighted images a hypointense mass relative to the vitreous humor was evident. There were several hypointensities compatible with calcifications. An area of r...
متن کاملUnilateral facial flushing precipitated by eating.
Unilateral facial erythema or sweating after gustatory stimuli is consistent with a diagnosis of Frey’s syndrome. Parasympathetic auriculotemporal nerve fibres provide secretomotor innervation to the parotid gland. However, in Frey's syndrome, injury and aberrant regeneration of these nerve fibres results in stimulation of the sweat glands or blood vessels instead of the parotid gland. This lea...
متن کاملCongenital Horner's syndrome with unilateral facial flushing.
Two patients with congenital Horner's syndrome had unilateral facial flushing. Both showed pupillary supersensitivity to epinephrine as well as anhidrosis on the affected side of the face and neck. Facial skin temperature after exercise increased on the intact side, but decreased on the affected side. Thermal vasodilation in the major portions of the face is regulated by sympathetic vasodilator...
متن کاملCondyloma acuminatum in a 3-year old girl.
We report the case of 3-year-old girl with condyloma acuminatum. She was brought to our clinic with pruritus, painful urination and four discharge and treated with electrocautery. Histological examination revealed acanthosis, nuclear basophilic inclusions and vacuolar degeneration. In this case, transmission of the human papilloma virus might have occurred during close, non-sexual contact with ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: British Journal of Dermatology
سال: 2023
ISSN: ['1365-2133', '0007-0963']
DOI: https://doi.org/10.1093/bjd/ljad113.317