J Korean Med Sci. 1999 Aug;14(4):460-464. English.
Published online Jun 19, 2009.
Copyright © 1999 The Korean Academy of Medical Sciences
Case Report

Congenital insensitivity to pain with anhidrosis: a case report

Joon Sung Kim, Young Jong Woo, Geun Mo Kim, Chan Jong Kim, Jae Sook Ma, Tai Ju Hwang and Min Cheol Lee
    • Department of Pediatrics, Chonnam National University Medical School, Kwangju, Korea.

Abstract

Congenital insensitivity to pain with anhidrosis (CIPA) is a very rare genetic disorder of the peripheral nervous system characterized by recurrent episodes of unexplained fever, generalized anhidrosis, insensitivity to pain and temperature, and accompanied by self-mutilating behavior and mental retardation. We report on a 16 month-old boy with CIPA who exhibited these characteristic clinical features. A sural nerve biopsy revealed markedly reduced numbers of unmyelinated and small myelinated fibers, consistent with the characteristic features of CIPA.

Keywords
Pain insensitivity, congenital; Hypohidrosis; Sural nerve


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