CONGENITAL INDIFFERENCE TO PAIN: A CASE REPORT
Cai
JH, Gan LF, Yu SHC
Children¡¯s
Hospital, Chongqing University of Medical Sciences, Chongqing, China
Congenital
Indifference to Pain is a autosomal recessive inherrited disease. In the
syndrome responses to painful stimuli is absent. Failure to apropriate pain
leads to repeated trauma and burns. Fractures may go undetected for a long
time, which can lead to severe disabilities. We report the clinical history
and radiographies of a three-year-old boy with Congenital Indifference to
Pain. The only symptom or sign is a swelling of soft tissue around the
right knee. Radiographic examination showed irregularity and lytic areas of
the metaphysis and abundant callus formation around bilateral knee joints.
There's fregmentation, sclerosis and flat-shaped deformation in the right
calcaneus, which are similar to the Avascular Necrosis. These changes are
the results of stress and trauma which are often unrecognized and, if not
treated, may cause progressive destruction. So, once a localized
soft-tissue swelling, warmth,and hyperemia of the extremity, especially
around the joint, are found, radiographies should be obtained. Early
recognition should lead to immobolization, and severe complications can be
avoided.