Complication of Lateral Condyle Fracture of Humerus in a Patient with Hereditary Sensory Autonomic Neuropathy Type IV: A Case Report.
- Author:
Ho Jung KANG
1
;
Seung Yong SUNG
;
Sang Jin SHIN
;
Hee Wan PARK
Author Information
1. Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Congenital insensibility to pain;
Anhidrosis;
Fracture;
Complication
- MeSH:
Biopsy;
Body Temperature Regulation;
Child, Preschool;
Hereditary Sensory and Autonomic Neuropathies;
Humans;
Humerus*;
Hypohidrosis;
Male;
Nerve Fibers, Unmyelinated;
Orthopedics;
Osteomyelitis;
Pain Insensitivity, Congenital;
Self Mutilation;
Sweat
- From:The Journal of the Korean Orthopaedic Association
1999;34(6):1175-1178
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hereditory Sensory Automnomic Neuropathy (HSAN) is a rare disorder. Five types of HSAN have been described by Dyck et al. Congenital insensitivity to pain with anhidrosis is classified HSAN Type IV. The clinical features include inability to sweat, causing defective thermoregulation, and congenital analgesia, which leads to orthopedic complications such as osteomyelitis, fractures, self mutilation and neuropathic arthropathies. Abnormal findings on nerve biopsy, virtual absence of unmyelinated nerve fibers, have been reported. We report a 5-year-old boy who presented with congenital insensitivity to pain, anhidrosis with fracture of lateral condyle of humerus and its complication.
