@article{23454, keywords = {Adult, Drug Therapy, Combination, Face, Granulomatosis, Orofacial, Humans, Leprostatic Agents, leprosy, Male, S100 Proteins, Taiwan, Trigeminal Neuralgia}, author = {Wang X and Chang Y and Tsai C and Chuang Y}, title = {Tic douloureux as a presenting feature of facial leprosy: diagnostic enigma in Taiwan.}, abstract = {
PURPOSE: Leprosy is rarely seen in Taiwan. We herein report a foreign worker concomitantly with facial borderline tuberculoid leprosy presenting with trigeminal neuralgia.
CASE REPORT: A 26-year-old male foreign labor from Indonesia, presented with 1 year history of a hypoanaesthetic erythematous plaque of right face and subsequent 6 months constant, severe pain in the right side of his face over the nasolabial groove. Biopsies and histopathological examination confirmed the diagnosis of leprosy. We treated the patient with a multidrug regimen including dapsone, clofazimine, and rifampine since April of 2012 with a good response.
CONCLUSIONS: We report a rare case of new-onset leprosy presenting with trigeminal neuralgia in Taiwan and suggest leprosy should be listed in the differential diagnosis of unusual skin manifestations and neuralgia.
}, year = {2012}, journal = {Acta neurologica Taiwanica}, volume = {21}, pages = {125-8}, month = {2012 Sep}, issn = {1028-768X}, language = {eng}, }