01612nas a2200301   4500000000100000008004100001260001300042653001000055653003000065653000900095653003000104653001100134653002300145653001200168653000900180653001800189653001100207653002500218100001100243700001200254700001100266700001300277245009100290300001000381490000700391520089800398022001401296       2012                            d  c2012 Sep10aAdult10aDrug Therapy, Combination10aFace10aGranulomatosis, Orofacial10aHumans10aLeprostatic Agents10aleprosy10aMale10aS100 Proteins10aTaiwan10aTrigeminal Neuralgia1 aWang X1 aChang Y1 aTsai C1 aChuang Y00aTic douloureux as a presenting feature of facial leprosy: diagnostic enigma in Taiwan.  a125-80 v213 a<p><b>PURPOSE: </b>Leprosy is rarely seen in Taiwan. We herein report a foreign worker concomitantly with facial borderline tuberculoid leprosy presenting with trigeminal neuralgia.</p><p><b>CASE REPORT: </b>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.</p><p><b>CONCLUSIONS: </b>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.</p>  a1028-768X