Hereditary sensory and autonomic neuropathy: a clinical case
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Keywords
Hereditary Sensory and Autonomic Neuropathies, Congenital Insensitivity to Pain
Abstract
Hereditary sensory and autonomic neuropathies, such as type IV, pose clinical challenges by affecting pain and temperature perception, coupled with anhidrosis. Herein, we report a 17-year-old male diagnosed with this condition since age 8. His medical history includes fractures, arthritis, and osteomyelitis from minor traumas, leading to prolonged hospitalizations with multiple surgical interventions and septic episodes. Although he exhibits partial independence in daily activities, there is no specific treatment, and management focuses on support, early issue identification, and complication prevention. Emphasizing the importance of early diagnosis for enhancing the care and prognosis of these patients.
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Laura Segura-Agüero, Departamento de Medicina Física y Rehabilitación, Hospital Dr. Rafael Ángel Calderón Guardia, Caja Costarricense de Seguro Social, Costa Rica.
Médico Especialista en Medicina Física y Rehabilitación