Sindrom Auriculotemporal atau Sindrom Frey’s Sebagai Manifestasi Alergi Makanan
Abstract
Auriculotemporal or Frey syndrome is characterized mainly by recurrent episodes of facial gustatory flushing and/or sweating, limited to the cutaneous distribution of the auriculotemporal nerve. Although relatively common in adults following injury to the auriculotemporal nerve or parotid disease, the condition has rarely been reported in children. Moreover, in childhood, auriculotemporal syndrome has been described mainly in infancy and early childhood as a sequel of perinatal birth trauma resulting from assisted forceps delivery. An unusual presentation of auriculotemporal syndrome in late childhood as gustatory flushing mimicking food allergy. Adverse food reactions are common complaints to the general pediatrician. True hypersensitivity reactions are only a small part of the overall incidence of reactions. Other conditions that are initially thought to be food allergies include enzyme deficiencies, food poisoning, and pharmacologic agents in foods. Awareness of this variant is essential for prompt recognition, thus avoiding unnecessary laboratory tests, especially as this condition usually resolves spontaneously.
Sindrom Auriculotemporal sering juga disebut Sindrom Frey’s, gangguan ini bisa karena bawaan genetik atau operasi parotis dan dapat bertahan sampai seumur hidup. Gejala-gejala sindrom Frey adalah kemerahan dan berkeringat pada daerah pipi yang berdekatan dengan telinga. Beberapa kasus ternyata saat timbul manifestasi tersebut berkaitanm dengan konsumsi makan tertentu. Sindrom Auriculotemporal nerupakan gangguan neurologis yang jarang. Gangguan ini akibat cidera saat operasi dekat kelenjar parotis (yang memproduksi air liur), merusak saraf wajah. Kelenjar parotid merupakan kelenjar ludah terbesar dan terletak di sisi wajah di bawah ini dan di depan telinga. Sindrom ini ditandai dengan pembilasan atau berkeringat pada satu sisi wajah ketika makanan tertentu yang dikonsumsi. Gejala biasanya ringan dan ditoleransi dengan baik oleh kebanyakan individu. Perbaikan gejala mungkin memerlukan bantuan obat dan penghindaran makan yang memicu memperberat gejalanya. Nama Lain Sindrom Auriculotemporal :- Auriculotemporal Syndrome
- Baillarger’s Syndrome
- Dupuy’s Syndrome
- Salivosudoriparous Syndrome
- Sweating Gustatory Syndrome
- von Frey’s Syndrome
- Identifikasi dan hindari makanan penyebab
- Injeksi botulinum toxin type A
- Tindakan bedah transection of the nerve fibers
- Diberi obat oles topikal ointment yang mengandung anticholinergic seperti scopolamine
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