Fifteen-minute consultation: approach to a child with congenital insensitivity to pain

Anuar, Muhamad Azamin and Whitehouse, Emily Rose and Varma, Uma and McCullagh, Gary and Hughes, Imelda (2025) Fifteen-minute consultation: approach to a child with congenital insensitivity to pain. Archives of Disease in Childhood: Education and Practice Edition, 110 (1). pp. 1-6. ISSN 1743-0585 E-ISSN 1743-0593

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Abstract

The hereditary sensory and autonomic neuropathies (HSANs) are a group of rare genetic disorders characterised by variable phenotypic expression affecting both sensory and autonomic dysfunction. Diagnosing these conditions can be a challenge as the presenting symptoms can be diverse and may overlap. This often leads to a delay in referral and diagnosis. Pain is often used by clinicians as a marker for systemic diseases. The key feature of HSAN conditions is the absence of pain perception and its consequences such as unexplained injuries. When a child presents with an unexplained injury, a diagnosis of non-accidental injuries must be considered, but rarely HSAN could be a possibility. The diagnosis of HSANs in children is both important and rare. This article aims to discuss an approach to the diagnosis and management of HSANs

Item Type:	Article (Case Report)
Uncontrolled Keywords:	Hereditary sensory and autonomic neuropathies, congenital insensitivity to pain, safeguarding, learning difficulty
Subjects:	R Medicine > RJ Pediatrics R Medicine > RJ Pediatrics > RJ365 Pain in children R Medicine > RJ Pediatrics > RJ370 Disease of children
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Paediatrics
Depositing User:	Dr Muhamad Azamin Anuar
Date Deposited:	03 Sep 2024 08:54
Last Modified:	26 May 2025 12:32
URI:	http://irep.iium.edu.my/id/eprint/112026

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