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Trigeminal trophic syndrome
  1. Stephen Collyer,
  2. Geraint Fuller
  1. Department of Neurology, Gloucester Royal Hospital, Gloucester, UK
  1. Correspondence to Dr Stephen Collyer, Department of Neurology, Gloucester Royal Hospital, Great Western Road, Gloucester GL1 3NN, UK; steve.collyer{at}

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A 66-year-old man with maturity onset diabetes mellitus presented with a 2-month history of painless right facial ulceration (figure 1). Four months ago, he had been admitted with an abrupt-onset imbalance with vomiting and right facial numbness. Eight weeks later, a right-sided nasal ulcer …

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