Congenital Insensitivity to Pain with Anhidrosis (HSAN Type IV) Extremely Rare Syndrome that Can Be Easily Missed by Bone and Joint Surgeons: A Case Report

摘要

BackgroundCongenital insensitivity to pain with anhidrosis is an extremely rare disorder in which injuries can often be missed by patient, parents and even by orthopedic surgeon. Pain and tenderness, on which a trauma team so much depends to make a clinical diagnosis and to decide whether to go for radiological evaluation can be misleading in this rare syndrome. So complete clinical examination still forms the corner stone to avoid misdiagnosis and pick up the rare disorders.