AI Article Synopsis

  • - The term mid-face toddler excoriation syndrome (MiTES) refers to a rare condition in infants, marked by self-inflicted skin lesions, primarily on the face.
  • - MiTES is thought to be a milder form of hereditary sensory-autonomic neuropathy (HSAN) type VIII, which affects pain sensation.
  • - An 8-year-old boy with this syndrome exhibited self-inflicted facial lesions and an unusually high pain threshold, prompting a review of its diagnosis and management.

Article Abstract

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.14081DOI Listing

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Article Synopsis
  • - The term mid-face toddler excoriation syndrome (MiTES) refers to a rare condition in infants, marked by self-inflicted skin lesions, primarily on the face.
  • - MiTES is thought to be a milder form of hereditary sensory-autonomic neuropathy (HSAN) type VIII, which affects pain sensation.
  • - An 8-year-old boy with this syndrome exhibited self-inflicted facial lesions and an unusually high pain threshold, prompting a review of its diagnosis and management.
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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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