Auriculotemporal nerve syndrome (Frey syndrome) in two infants with bilateral presentation
Reference of this article: Fernández Tejada ME, Fernández García N, Meana Meana A, López Vilar P. Auriculotemporal nerve syndrome (Frey syndrome) in two infants with bilateral presentation. Rev Pediatr Aten Primaria. 2008;10:643-8.
Published in Internet: 31-12-2008 - Visits: 4910
Patients with auriculotemporal nerve syndrome (Frey syndrome) have facial flushing,
sweating, or both located along the distribution of the auriculotemporal nerve, and that occurs
in response to gustatory stimuli. As the condition usually manifests during infancy with
the introduction of solid food, it can lead to the misdiagnosis of food allergy by physicians
unfamiliar with this syndrome.
Two boys (5 and 6 months old) presented with a history of bilateral facial flushing extending
from the corner of the mouth to the temporal area. Symptoms began at the moment of
fruit introduction (orange, pear, apple and banana) and also with some type of candy in the
first. Symptoms appeared immediate to fruit mastication and cutaneous erythema spontaneously
disappeared in a few minutes after finishing fruit. Both cases had been born without instrumental delivery. In one case the symptoms disappeared before the end of the first year of
age, and the second (he?s now 7 months old) has symptoms discontinuously. The recognition
of this entity might avoid unnecessary referral and laboratory evaluation.
Keywords● Auriculotemporal ● Food allergy ● Frey syndrome