The term mid-face toddler excoriation syndrome (MiTES) has been proposed to describe a rare condition that arises in infancy as is characterized by self-inflicted excoriations. It is considered to be a milder variant of hereditary sensory-autonomic neuropathy (HSAN) type VIII. We present an 8-year-old boy with lesions on the mid-face that were admittedly self-induced and associated with an abnormally high pain threshold. The diagnosis and management of MiTES is reviewed.
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http://dx.doi.org/10.1111/pde.14081 | DOI Listing |
Pediatr Dermatol
March 2020
Department of Dermatology, Hospital Universitario Infantil Niño Jesús, Madrid, Spain.
Clin Exp Dermatol
January 2017
Centre for Human Genetics and Manipal Hospitals, Bangalore, Karnataka, India.
Chronic ulcerating lesions on the face are rarely seen in toddlers. Blistering disease, vasculitis, infections and self-mutilation due to neurometabolic disease can usually be excluded on clinical and histological grounds. In the absence of identifiable disease, such lesions are sometimes attributed to child abuse or fabricated illness.
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