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Frey’s syndrome in the allergology consultation

Síndrome Frey en la consulta de alergología

July Andrea Ospina-Cantillo 1  Ruth Helena Ramírez-Giraldo1  Iris Yansa Castelblanco-Arango 1  Ricardo Cardona1

1Universidad de Antioquia, Grupo de Alergología Clínica y Experimental
 Correspondencia: Ricardo Cardona. rcv2016udea@gmail.com Medellín, Colombia

Abstract

Background: Frey’s syndrome is a group of symptoms that include unilateral sweating with malar region and external ear reddening after eating or drinking some food. It is a lesion of the auriculotemporal nerve that is secondary to surgery, parotid gland infection or facial trauma. 

Clinical cases: Three children between 4 and two and a half years of age: two girls and one boy. They had self-limiting unilateral erythematous facial macules that reached the external ear, without rash, itching, angioedema and gastrointestinal or respiratory symptoms; its onset was associated with the consumption of acid and some sweet foods. Symptom reproduction of was observed in the path of the auriculotemporal nerve. Their histories included cesarean section delivery owing to cephalopelvic disproportion (case 1), birth by operative vaginal delivery with forceps (case 2) and cesarean delivery owing to preeclampsia (case 3).

Conclusions: Frey’s syndrome is often mistaken with food allergy, leading to unnecessary dietary restrictions. Sweating is often absent in children owing to possible eccrine glands immaturity.

Keywords: Frey’s syndrome; Auriculotemporal nerve; Gustatory flushing


Este artículo debe citarse como: Ospina-Cantillo JA, Ramírez-Giraldo RH, Castelblanco-Arango IY, Cardona R. Síndrome Frey en la consulta de alergología. Rev Alerg Mex. 2018;63(3):220-224

Texto completo: DOI: 10.29262/ram.v65i3.332


ORCID:
July Andrea Ospina-Cantillo, 0000-0003-3828-2456 
Ruth Helena Ramírez-Giraldo, 0000-0003-2232-8114 
Iris Yansa Castelblanco-Arango, 0000-0002-7231-6528 
Ricardo Cardona, 0000-0002-7428-2413

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