title: Tic douloureux as a presenting feature of facial leprosy: diagnostic enigma in Taiwan.
abstract: OBJECTIVE
  Leprosy is rarely seen in Taiwan. We herein report a foreign worker concomitantly with facial borderline tuberculoid leprosy presenting with trigeminal neuralgia.
  
  
  METHODS
  A 26-year-old male foreign labor from Indonesia, presented with 1 year history of a hypoanaesthetic erythematous plaque of right face and subsequent 6 months constant, severe pain in the right side of his face over the nasolabial groove. Biopsies and histopathological examination confirmed the diagnosis of leprosy. We treated the patient with a multidrug regimen including dapsone, clofazimine, and rifampine since April of 2012 with a good response.
  
  
  CONCLUSIONS
  We report a rare case of new-onset leprosy presenting with trigeminal neuralgia in Taiwan and suggest leprosy should be listed in the differential diagnosis of unusual skin manifestations and neuralgia.
authors.affiliation: Department of Neurology, Far Eastern Memorial Hospital, Taiwan.
authors.forename: Xh-Xiang
authors.initials: XX
authors.lastname: Wang
authors.forename: Ying-Jui
authors.initials: YJ
authors.lastname: Chang
authors.forename: Chien-Chen
authors.initials: CC
authors.lastname: Tsai
authors.forename: Yu-Ming
authors.initials: YM
authors.lastname: Chuang
mesh_terms: D000328:Adult; D004359:Drug Therapy, Combination; D005145:Face / Q000473:pathology*; D051261:Granulomatosis, Orofacial / Q000209:etiology; D006801:Humans; D007917:Leprostatic Agents / Q000627:therapeutic use; D007918:Leprosy / Q000150:complications* / Q000188:drug therapy; D008297:Male; D009418:S100 Proteins / Q000378:metabolism; D013624:Taiwan; D014277:Trigeminal Neuralgia / Q000209:etiology*
chemical_list: D007917:Leprostatic Agents; D009418:S100 Proteins