Abstract

Trigeminal trophic syndrome is a rare disease presenting with unilateral painless persistent facial ulcers which occurs after an insult to trigeminal nerve. Patients typically present with persistent ulceration, paraesthesia, numbness, or self-manipulation of the affected area. We report a case of 40-year-old male who was diagnosed as trigeminal trophic syndrome with atypical presentation. The diagnostic process required careful exclusion of infectious, inflammatory, and neoplastic causes of chronic facial ulceration. A multidisciplinary approach was employed for accurate diagnosis and effective management. The patient showed significant improvement with a combination of protective measures, behavioral modification, and pharmacological therapy. This case highlights the importance of early recognition of TTS and the role of coordinated multidisciplinary care in optimizing outcomes.