Mid-face Toddler Excoriation Syndrome (MiTES): A new conundrum in the field?

an enigma in sensory neuropathy

Authors

  • Abhineetha Hosthota The Oxford Medical College Hospital & Research Centre
  • Swapna Bondade The Oxford Medical College Hospital And Research Centre
  • Bhavana V The Oxford Medical College Hospital And Research Centre
  • Sanjay Thejesvi The Oxford Medical College Hospital And Research Centre

Keywords:

Excoriation, neuropathy, midface

Abstract

Genetically heterogeneous group of sensory neuropathies have variable clinical presentation with insensitivity to pain as a prime feature. Chronic scarring with midface erosions mostly found in infants and toddlers and may be the only primary manifestation of chronic insensitivity to pain. In these cases, parents report that lesions are self-induced but, doctors attribute fabricated illness by parents. Thorough clinical and laboratory workup has to be done to distinguish between sensory neuropathies, Factious illness and neurometabolic disease. Midface toddler excoriation syndrome is a recently described entity, clinically characterized by excoriations and sequelae of long-term scratching, over mid-face in toddlers. In this case we have proposed the recognition of this entity in young adult, would encourage further scientific reports, and help to elucidate the cause.

Author Biographies

Swapna Bondade, The Oxford Medical College Hospital And Research Centre

Professor & Head  Department of Psychiatry 

Bhavana V, The Oxford Medical College Hospital And Research Centre

Junior Resident  Department of Dermatology

Sanjay Thejesvi, The Oxford Medical College Hospital And Research Centre

Assistant Professor  Department of Dermatology 

References

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Moss C, Srinivas SM, Sarveswaran N, Nahorski M, Gowda VK, Browne FM, et al. Midface toddler excoriation syndrome (MiTES) can be caused by autosomal recessive biallelic mutations in a gene for congenital insensitivity to pain, PRDM12. Br J Dermatol. 2018;179(5):1135-40.

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Published

2023-03-05

How to Cite

1.
Hosthota A, Bondade S, V B, Thejesvi S. Mid-face Toddler Excoriation Syndrome (MiTES): A new conundrum in the field? an enigma in sensory neuropathy . J Pak Assoc Dermatol [Internet]. 2023Mar.5 [cited 2024May19];33(1):335-8. Available from: https://www.jpad.com.pk/index.php/jpad/article/view/2027

Issue

Section

Case Reports