Auriculotemporal syndrome

Synonym(s)

Frey's syndrome; Baillarger's syndrome; Dupuy's syndrome; salivosudoriparous syndrome; sweating gustatory syndrome; gustatory sweating

Definition

Gustatory sweating secondary to auriculotemporal nerve injury

Pathogenesis

Misdirection of parasympathetic fibers, which migrate into the postganglionic sympathetic fibers to innervate the sweat glands

Clinical manifestation

Flushing or sweating on one side of the face when certain foods are eaten

Differential diagnosis

Gustatory sweating from diabetic neuropathy or post-herpetic neuralgia; Horner's syndrome; lacrimal sweating; harlequin syndrome

Therapy

Surgical: tympanic neurectomy for severe symptoms; perineural alcohol injection Medical: scopolamine 3-5% cream applied twice daily; aluminium chloride

► Gustatory sweating

References

Kaddu S, Smolle J, Komericki P, Kerl H (2000) Au-riculotemporal (Frey) syndrome in late child hood: an unusual variant presenting as gustatory flushing mimicking food allergy. Pediatric Dermatology 17(2^126-128

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