Charcot spine in a person with congenital insensitivity to pain with anhydrosis: a case report of re-diagnosis.
Arch Phys Med Rehabil
; 89(3): 568-71, 2008 Mar.
Article
en En
| MEDLINE
| ID: mdl-18295639
ABSTRACT
We report the case of a 43-year-old woman referred for evaluation of worsening gait. Her initial evaluation led to a diagnosis of a Charcot spine and 2 spinal stabilization surgeries. Because no clear cause for the Charcot spine could be determined from the patient's history or initial evaluation, an extensive diagnostic work-up was undertaken, which ultimately led to a diagnosis of congenital insensitivity to pain with anhydrosis (CIPA). This diagnosis was known and confirmed by the patient's parents but was unknown to the patient and her treating physicians. Unique to this case is not only the significant medical implications and the value of the re-diagnosis and confirmation of this rare condition, but also the rarer occurrence of a Charcot spine in a person with CIPA.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Artropatía Neurógena
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Enfermedades de la Columna Vertebral
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Neuropatías Hereditarias Sensoriales y Autónomas
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Insensibilidad Congénita al Dolor
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Hipohidrosis
Tipo de estudio:
Diagnostic_studies
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Etiology_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adult
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Female
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Humans
Idioma:
En
Revista:
Arch Phys Med Rehabil
Año:
2008
Tipo del documento:
Article
País de afiliación:
Estados Unidos